Status epilepticus caused by cerebral amyloid angiopathy related inflammation

This report discusses a case of non-convulsive status epilepticus, caused by cerebral amyloid angiopathy related inflammation. Brain biopsy demonstrated cerebral amyloid angiopathy, with clinical and radiographic features indicative of a fluctuating inflammatory process. Immunomodulatory treatment with pulse steroids resulted in rapid and dramatic clinical and radiographic improvement. Cerebral amyloid angiopathy related inflammation should be considered in the differential diagnosis of new onset seizures after the age of 40, when associated with fluctuating multifocal T2 hyperintensities and petechial hemorrhages on gradient echo (GRE) or susceptibility weighted (SWI) MRI sequences.
Source: Epilepsy and Behavior Case Reports - Category: Neurology Source Type: research