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Acute encephalopathy with biphasic seizures and late reduced diffusion
Saroj S Yadav1, Malini A Lawande, Shilpa D Kulkarni
1Department of Magnetic Resonance Imaging, Dr. Balabhai Nanavati Hospital, Vile Parle (West), Mumbai, Maharashtra, India.
Acute encephalopathy with biphasic seizures and reduced diffusion (AESD) presents with seizures and altered consciousness, followed by white matter diffusion restriction. This case report details AESD diagnosis through clinicoradiological correlation.
Area of Science:
- Neurology
- Pediatric Neurology
- Neuroimaging
Background:
- Acute encephalopathy with biphasic seizures and reduced diffusion (AESD) is a rare neurological disorder.
- AESD is characterized by distinct acute and subacute phases with specific clinical and imaging findings.
- The etiology is often linked to viral infections, but pathogenesis remains unclear.
Observation:
- This report details a specific case of AESD diagnosed via clinicoradiological correlation.
- The patient presented with characteristic biphasic seizures and altered consciousness.
- Magnetic resonance imaging revealed restricted diffusion in the subcortical white matter during the subacute stage.
Findings:
- The case successfully illustrates the diagnostic criteria for AESD.
- Clinicoradiological correlation confirmed the diagnosis of AESD.
- This case adds to the understanding of AESD presentation and diagnosis.
Implications:
- This case highlights the importance of integrating clinical and imaging findings for AESD diagnosis.
- Further research into AESD pathogenesis is warranted.
- Improved understanding can lead to earlier diagnosis and management of AESD.
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