Iranian Journal of Radiology

Published by: Kowsar

Status Epilepticus, Hemispheric Confusion, a CT Perfusion Pitfall in “Code Stroke” Patients: A Case Report

Houman Sotoudeh 1 , *
Author Information
1 Department of Neuroradiology, University of Alabama in Birmingham (UAB), Birmingham, AL, United States
Article information
  • Iranian Journal of Radiology: January 31, 2019, 16 (1); e66862
  • Published Online: July 23, 2018
  • Article Type: Case Report
  • Received: January 28, 2018
  • Revised: June 6, 2018
  • Accepted: June 10, 2018
  • DOI: 10.5812/iranjradiol.66862

To Cite: Sotoudeh H. Status Epilepticus, Hemispheric Confusion, a CT Perfusion Pitfall in “Code Stroke” Patients: A Case Report, Iran J Radiol. 2019 ; 16(1):e66862. doi: 10.5812/iranjradiol.66862.

Copyright © 2018, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Introduction
2. Case Presentation
3. Discussion
  • 1. Parsons MW, Pepper EM, Bateman GA, Wang Y, Levi CR. Identification of the penumbra and infarct core on hyperacute noncontrast and perfusion CT. Neurology. 2007;68(10):730-6. doi: 10.1212/01.wnl.0000256366.86353.ff. [PubMed: 17339580].
  • 2. Heit JJ, Wintermark M. Perfusion Computed Tomography for the Evaluation of Acute Ischemic Stroke: Strengths and Pitfalls. Stroke. 2016;47(4):1153-8. doi: 10.1161/STROKEAHA.116.011873. [PubMed: 26965849].
  • 3. Wintermark M, Flanders AE, Velthuis B, Meuli R, van Leeuwen M, Goldsher D, et al. Perfusion-CT assessment of infarct core and penumbra: receiver operating characteristic curve analysis in 130 patients suspected of acute hemispheric stroke. Stroke. 2006;37(4):979-85. doi: 10.1161/01.STR.0000209238.61459.39. [PubMed: 16514093].
  • 4. Murphy BD, Fox AJ, Lee DH, Sahlas DJ, Black SE, Hogan MJ, et al. Identification of penumbra and infarct in acute ischemic stroke using computed tomography perfusion-derived blood flow and blood volume measurements. Stroke. 2006;37(7):1771-7. doi: 10.1161/01.STR.0000227243.96808.53. [PubMed: 16763182].
  • 5. Austein F, Huhndorf M, Meyne J, Laufs H, Jansen O, Lindner T. Advanced CT for diagnosis of seizure-related stroke mimics. Eur Radiol. 2018;28(5):1791-800. doi: 10.1007/s00330-017-5174-4. [PubMed: 29218615].
  • 6. Gelfand JM, Wintermark M, Josephson SA. Cerebral perfusion-CT patterns following seizure. Eur J Neurol. 2010;17(4):594-601. doi: 10.1111/j.1468-1331.2009.02869.x. [PubMed: 19968701].
  • 7. O'Brien TJ, So EL, Mullan BP, Hauser MF, Brinkmann BH, Jack CR Jr, et al. Subtraction SPECT co-registered to MRI improves postictal SPECT localization of seizure foci. Neurology. 1999;52(1):137-46. doi: 10.1212/WNL.52.1.137. [PubMed: 9921861].
  • 8. Wu RH, Bruening R, Noachtar S, Arnold S, Berchtenbreiter C, Bartenstein P, et al. MR measurement of regional relative cerebral blood volume in epilepsy. J Magn Reson Imaging. 1999;9(3):435-40. doi: 10.1002/(SICI)1522-2586(199903)9:3<435::AID-JMRI11>3.0.CO;2-J. [PubMed: 10194714].

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