Document Detail

Nonconvulsive status epilepticus with generalized 'fast activity'.
MedLine Citation:
PMID:  9061827     Owner:  NLM     Status:  MEDLINE    
We report the case of a 55-year-old patient with infrequent generalized tonic-clonic seizures since the age of 40 years and additional frequent episodes of disturbed behaviour and impaired cognition. The latter last from several hours up to one day with sudden onset and end of electroencephalographic (EEG) changes and clinical manifestations. They occurred about once a week before they were successfully treated with valproate and lamotrigine. From clinical, therapeutic and EEG findings we conclude that the patient suffers from nonconvulsive status epileptici, although the ictal EEG showed an untypical pattern of monomorphic generalized alpha rhythm. Many EEG characteristics point towards a primary generalized seizure disorder but a focal origin with secondary bilateral synchrony has to be considered as well. However, this is obviously a rare type which has not been described previously.
J Bauer; C Helmstaedter; C E Elger
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Seizure     Volume:  6     ISSN:  1059-1311     ISO Abbreviation:  Seizure     Publication Date:  1997 Feb 
Date Detail:
Created Date:  1997-06-03     Completed Date:  1997-06-03     Revised Date:  2014-10-21    
Medline Journal Info:
Nlm Unique ID:  9306979     Medline TA:  Seizure     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  67-70     Citation Subset:  IM    
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MeSH Terms
Alpha Rhythm
Anticonvulsants / therapeutic use
Cerebral Cortex / physiopathology
Diagnosis, Differential
Drug Therapy, Combination
Electroencephalography* / drug effects
Epilepsy, Generalized / diagnosis,  drug therapy,  physiopathology*
Epilepsy, Tonic-Clonic / diagnosis,  drug therapy,  physiopathology*
Mental Recall / drug effects,  physiology
Middle Aged
Status Epilepticus / diagnosis,  drug therapy,  physiopathology*
Triazines / therapeutic use
Valproic Acid / therapeutic use
Reg. No./Substance:
0/Anticonvulsants; 0/Triazines; 614OI1Z5WI/Valproic Acid; U3H27498KS/lamotrigine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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