Document Detail

Is Non-Convulsive Status Epilepticus (NCSE) undertreated in patients affected by dementia?
MedLine Citation:
PMID:  19959928     Owner:  NLM     Status:  MEDLINE    
A 80-year-old woman with a history of severe degenerative dementia, with behavioral and psychological symptoms of dementia (BPSD), COPD and hypertension, was admitted to our hospital (Geriatric Unit, University Hospital of Parma) for an acute change in her cognitive status, with stupor status. The clinical question was: "What is the cause of this rapid worsening of cognitive and mental condition in a demented patient?" A diagnosis of Non-Convulsive Status Epilecticus (NCSE), defined by behavioral or cognitive changes from a patient's baseline state of functioning, with seizure activity on EEG, should be considered when patients with severe dementia are admitted to hospital. It is sufficient for the diagnosis of NCSE to be suspected and not strictly confirmed to start preliminary treatment with an antiepileptic drug.
Fulvio Lauretani; Marcello Maggio; Anna Nardelli; Marsilio Saccavini; Gian Paolo Ceda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Aging clinical and experimental research     Volume:  21     ISSN:  1594-0667     ISO Abbreviation:  Aging Clin Exp Res     Publication Date:    2009 Aug-Oct
Date Detail:
Created Date:  2009-12-04     Completed Date:  2010-04-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101132995     Medline TA:  Aging Clin Exp Res     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  363-4     Citation Subset:  IM    
Geriatric Unit and Geriatric Clinic, Geriatric-Rehabilitation Department, University Hospital of Parma, Parma, Italy.
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MeSH Terms
Aged, 80 and over
Alpha Rhythm
Alzheimer Disease / complications*,  physiopathology
Delirium / physiopathology*
Delta Rhythm
Status Epilepticus / complications,  diagnosis*
Theta Rhythm

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