Document Detail

Tonic status epilepticus: an unusual presentation of unresponsiveness.
MedLine Citation:
PMID:  1739219     Owner:  NLM     Status:  MEDLINE    
We report an unusual cause of unresponsiveness in a 73-year-old woman seen in the emergency department. Extensive evaluation, including an emergency EEG that demonstrated rhythmic, high-voltage spike-and-wave discharges characteristic of convulsive activity, confirmed the diagnosis of generalized tonic status epilepticus. The patient's persistent subclinical seizures terminated after the IV administration of diazepam. Varying presentations of generalized tonic status epilepticus have been described in the neurology literature, with EEG confirmation of this diagnosis. Review of the emergency medicine literature does not describe a similar presentation of altered mental status in the adult population. This case illustrates one necessary role for ED EEG in the identification of occult status epilepticus causing altered mental status.
G M Garmel; A K Jacobs; M A Eilers
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  21     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  1992 Feb 
Date Detail:
Created Date:  1992-03-19     Completed Date:  1992-03-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  223-7     Citation Subset:  AIM; IM    
Stanford/Kaiser Emergency Medicine Residency Program, Palo Alto, California.
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MeSH Terms
Status Epilepticus / complications,  diagnosis*
Unconsciousness / diagnosis,  etiology*

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

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