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Journals / Nöropsikiyatri Arşivi / 2009 / Cilt: 46 - Sayı: 4

A nonconvulsive status epilepticus case presenting with diffuse delta wave frequency activity

Diffuz delta dalga frekanslı elektriksel aktivite gösteren nonkonvülzif status epileptikus olgusu

AYLİN AKÇALI
Samiye KUZUDİŞLİ
AYŞE MÜNİFE NEYAL
Pages
200–202
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

NCSE must be suspected in case of any mental status disturbance, and EEG must be obtained.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Nonconvulsive status epilepticus (NCSE) is clinically characterized by altered mental status and the diagnosis is confirmed by electroencephalography (EEG).
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Key Findings & Data:The patient was a 53 year-old-woman with no history of epilepsy admitted with meaningless speech and urinary incontinence lasting for 3 days after a generalized convulsive seizure.
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Conclusion & Impact:NCSE must be suspected in case of any mental status disturbance, and EEG must be obtained.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Benzodiazepinler · Elektroensefalografi · Kadın

Abstract

Nonconvulsive status epilepticus (NCSE) is clinically characterized by altered mental status and the diagnosis is confirmed by electroencephalography (EEG). It may still represent a diagnostic challenge for both the neurologist and the psychiatrist. The patient was a 53 year-old-woman with no history of epilepsy admitted with meaningless speech and urinary incontinence lasting for 3 days after a generalized convulsive seizure. EEG recording, after the initial diagnosis of NKSE, was characterized by diffuse delta waves, which makes our case different than the other NCSE cases. Biochemical analysis and cranial images of the patient did not show any pathological changes. After 12 hours of intravenous benzodiazepine treatment, the clinical and EEG findings improved. NCSE must be suspected in case of any mental status disturbance, and EEG must be obtained.

Özet

Nonkonvuzif status epileptikus (NKSE), klinik olarak bilinç değişikliği ile karakterizedir ve tanı elektroensefalografi (EEG) ile konulur. Ancak günümüzde hem nörologlar hem de psikiyatristler için halen tanı sıkıntısı yaratabilmektedir. Olgumuz 53 yaşında daha öncesine ait epilepsi öyküsü olmayan ve tek bir jeneralize konvülzif nöbet sonrasında son 3 gündür devam eden anlamsız konuşma ve idrar inkontinansı sikayeti ile getirilen kadın hastaydı. NKSE ön tanısı ile çekilen EEG’sinin yaygın delta dalgaları ile karakterize olması diğer olgulardan farklı bir durum olarak gözlendi. Hastanın biyokimyasal tetkiklerinde ve kranial görüntülemelerinde patolojik bir bulguya rastlanmadı. IV benzodiazepin sonrası 12 saat içerisinde klinik ve EEG bulguları düzeldi. Herhangi bir düzeydeki şuur bozukluklarında NKSE’un akla gelmesi ve mutlaka EEG çekimi yapılması önerilir.

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Cite This Article

AKÇALI, A., KUZUDİŞLİ, S., NEYAL, A. M. (2009). A nonconvulsive status epilepticus case presenting with diffuse delta wave frequency activity. Nöropsikiyatri Arşivi, Cilt: 46 - Sayı: 4, 200–202. https://ajindex.com/articles/292695

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References (16)

  1. Treiman DM. Status epileptikus.In: Wylie E (editor). The treatment of epilepsy: principles & practice. 2001, Lippincott Williams & Wilkins; Philadelphia: 681-697
  2. Cascino GD. Nonkonvulsive status epilepticus in adults and children. Epilepsia 1993; 34(Suppl1)S21-8
  3. Walker M, Cross H, Smith S et al. Nonconvulsive status epilepticus: Epilepsy Research Foundation Workshop Reports. Epileptic Disorder 2005; 7:253-96
  4. Shorvon S, Baulac M, Cross H et al. The drug treatment of status epilepticus in Europe: consensus document from a workshop at the first London Colloquium on Status Epilepticus. Epilepsia 2008; 49:1277-85
  5. Guberman A, Cantu-Reyna G, Stuss D et al. Nonconvulsive generalized status epilepticus: clinical features, neuropsyhological testing and long-term follow-up. Neurology 1986; 36:1284-91
  6. Towne AR, Waterhouse EJ, Boggs JG et al. Prevalence of nonkonvulsive status epilepticus in comatose patients. Neurology 2000; 54:340-45
  7. Krumholz A. Epidemiology and evidence for morbidity of nonconvulsive status epilepticus. J Clin Neurophysiol 1999; 16:314-22
  8. DeLorenzo RJ, Waterhouse EJ, Towne AR et al. Persistent nonconvulsive status epilepticus after control of convulsive status epilepticus. Epilepsia 1998; 38:833-40
  9. Kaplan PW. Assessing the outcomes in patients with nonconvulsive status epilepticus: nonconvulsive status epilepticus is underdiagnosed, potentially overtreated and confounded by comorbidity. J Clin Neurophysiol 1999; 16:341-52
  10. Scholtes FB, Renier WO, Meinardi H. Non-convulsive status epilepticus: causes, treatment and outcome in patients. J Neurol Neurosurg Psychiatr 1996; 61:93-5
  11. Baykan B, Gökyiğit A, Gürses C et al. Recurrent absence status epilepticus: clinical and EEG characteristics. Seizure 2002; 11:310-19
  12. Tomson T, Lindbom U, Nilsson B. Nonconvulsive status epilepticus in adults: thirty-two consecutive patients from a general hospital population. Epilepsia 1992; 33:829-35
  13. Riggio S. Psychiatric manifestations of nonconvulsive status epilepticus. Mt Sinai J Med 2006; 73:960-6
  14. Thomas P, Beaumanoir A, Genton P et al. ‘De novo’ absence status of late onset: report of 11 cases. Neurology 1992; 42:104-10
  15. Povlsen UJ, Wildschiodtz G. Hogenhaven H et al. Nonconvulsive status epilepticus after electroconvulsive therapy. J ECT 2003;19:164-9
  16. Walker M, Cross H, Smith S et al. Nonconvulsive status epilepticus: Epilepsy Research Foundation Workshop Reports. Epileptic Disorder 2005; 7:253-96. 17