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Acta Neurológica Colombiana
versión impresa ISSN 0120-8748versión On-line ISSN 2422-4022
Resumen
FERNANDES-PINEDA, Mónica y ZUNIGA-ESCOBAR, Gonzalo. Cortical laminar necrosis as a manifestation of status epilepticus induced by chronic alcohol abuse. Acta Neurol Colomb. [online]. 2023, vol.39, n.3, e8. Epub 03-Nov-2023. ISSN 0120-8748. https://doi.org/10.22379/anc.v39i3.847.
Introduction:
Cortical laminar necrosis (CLN) is radiologically defined as high-intensity cortical lesions on T1-weighted MRI images that follow a gyral distribution in the brain. Histopathologically, this pathological condition is characterized by necrosis of the cortex involving neurons, glial cells, and blood vessels. It is usually triggered by hypoxia, metabolic alterations, drugs, intoxications, or infections.
Case description:
We report the case of a 23-year-old man with a history of chronic alcohol abuse who was admitted to our institution with status epilepticus. The brain magnetic resonance imaging performed on this patient showed cortical laminar necrosis associated with subsequent neurocognitive deficits.
Conclusion:
Due to the potential neurological sequelae secondary to status epilepticus in relation to cortical laminar necrosis as permanent brain damage, it is necessary to provide early diagnosis and treatment for these patients.
Palabras clave : Cerebral cortex; Neuroimaging; Hypoxia; brain; Status epilepticus.
