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Status epilepticus in BRAF-related cardio-facio-cutaneous syndrome: focus on neuroimaging clues to physiopathology.

Elisa MustoMaria Luigia GambardellaMarco PerulliMichela QuintilianiChiara VerediceTommaso VerdolottiGiovanna BertéChiara LeoniRoberta OnesimoSilvia Maria PulitanòMarco TartagliaGiuseppe ZampinoIlaria ContaldoDomenica Immacolata Battaglia
Published in: Epilepsia open (2023)
Acute focal neuroimaging changes concomitant with ictal EEG focus were present in 5/7 episodes, though with different findings. The heterogeneous patterns suggest different contributing factors, possibly including the presence of focal cortical malformations and autoinflammation. When cytotoxic oedema is revealed by MRI, it can be followed by permanent structural damage, as already observed in other genetic conditions. A better understanding of the physiopathology will provide access to targeted treatments allowing to prevent long-term adverse neurological outcome.
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