Convulsive status epilepticus revealing cerebral microbleeds in a pediatric patient: A rare case report
Cerebral microbleeds (CMBs) are small, round, or ovoid hypointense lesions observed on susceptibility-sensitive MRI sequences, such as T2*-weighted gradient-echo and susceptibility-weighted imaging (SWI). This case report presents a 10-year-old male with refractory convulsive status epilepticus, cha...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325003267 |
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| author | Siham Oukassem Chaimae Jabbari Chaimae Abourak Asmae Guennouni Lina Belkouchi Siham El Haddad Nazik Allali Latifa Chat |
| author_facet | Siham Oukassem Chaimae Jabbari Chaimae Abourak Asmae Guennouni Lina Belkouchi Siham El Haddad Nazik Allali Latifa Chat |
| author_sort | Siham Oukassem |
| collection | DOAJ |
| description | Cerebral microbleeds (CMBs) are small, round, or ovoid hypointense lesions observed on susceptibility-sensitive MRI sequences, such as T2*-weighted gradient-echo and susceptibility-weighted imaging (SWI). This case report presents a 10-year-old male with refractory convulsive status epilepticus, characterized by persistent seizures, agitation, and myoclonus. The patient had no prior hospitalizations or neuroimaging studies. Despite initial benzodiazepine treatment, the seizures persisted. After 10 days of intensive care, including valproate therapy and ventilatory support, the patient showed significant clinical improvement and was extubated. CMBs were identified on SWI sequence. Their association with status epilepticus may offer insights into cerebrovascular changes in critically ill pediatric patients. This case highlights the association between status epilepticus and microbleeds in pediatric patients. |
| format | Article |
| id | doaj-art-e595f921d9214ad1a6c7f0430cddc024 |
| institution | OA Journals |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-e595f921d9214ad1a6c7f0430cddc0242025-08-20T02:30:54ZengElsevierRadiology Case Reports1930-04332025-08-012083890389310.1016/j.radcr.2025.04.030Convulsive status epilepticus revealing cerebral microbleeds in a pediatric patient: A rare case reportSiham Oukassem0Chaimae Jabbari1Chaimae Abourak2Asmae Guennouni3Lina Belkouchi4Siham El Haddad5Nazik Allali6Latifa Chat7Corresponding author.; Department of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoCerebral microbleeds (CMBs) are small, round, or ovoid hypointense lesions observed on susceptibility-sensitive MRI sequences, such as T2*-weighted gradient-echo and susceptibility-weighted imaging (SWI). This case report presents a 10-year-old male with refractory convulsive status epilepticus, characterized by persistent seizures, agitation, and myoclonus. The patient had no prior hospitalizations or neuroimaging studies. Despite initial benzodiazepine treatment, the seizures persisted. After 10 days of intensive care, including valproate therapy and ventilatory support, the patient showed significant clinical improvement and was extubated. CMBs were identified on SWI sequence. Their association with status epilepticus may offer insights into cerebrovascular changes in critically ill pediatric patients. This case highlights the association between status epilepticus and microbleeds in pediatric patients.http://www.sciencedirect.com/science/article/pii/S1930043325003267MicrobleedsEpilepsySWI |
| spellingShingle | Siham Oukassem Chaimae Jabbari Chaimae Abourak Asmae Guennouni Lina Belkouchi Siham El Haddad Nazik Allali Latifa Chat Convulsive status epilepticus revealing cerebral microbleeds in a pediatric patient: A rare case report Radiology Case Reports Microbleeds Epilepsy SWI |
| title | Convulsive status epilepticus revealing cerebral microbleeds in a pediatric patient: A rare case report |
| title_full | Convulsive status epilepticus revealing cerebral microbleeds in a pediatric patient: A rare case report |
| title_fullStr | Convulsive status epilepticus revealing cerebral microbleeds in a pediatric patient: A rare case report |
| title_full_unstemmed | Convulsive status epilepticus revealing cerebral microbleeds in a pediatric patient: A rare case report |
| title_short | Convulsive status epilepticus revealing cerebral microbleeds in a pediatric patient: A rare case report |
| title_sort | convulsive status epilepticus revealing cerebral microbleeds in a pediatric patient a rare case report |
| topic | Microbleeds Epilepsy SWI |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325003267 |
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