Diffusion-weighted imaging hyperintensity of the striatum or “striatum sign’’ in convulsive status epilepticus

Prior studies have identified the important role of cerebral magnetic resonance imaging (MRI) in providing information on ictal and peri-ictal phases in patients with epilepsy [1, 2]. The main MRI sequences used in diagnosing patients with epilepsy include arterial spin labeling (ASL) and diffusion-weighted imaging (DWI) [2]. The diagnostic findings include hyperintense abnormalities on DWI and hyperperfusion on ASL observed in the focal cortex or the thalamus (otherwise called the “pulvinar sign”) or splenium in patients with focal status epilepticus (SE) or diffuse signal in the cortical areas and thalamus in patients with generalized convulsive SE [1].

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