SavedAdd your journal

Journals / Epilepsi / 2020 / Cilt: 26 - Sayı: 3

Subependymal Heterotopy: Gray Matter Heterotopia in a Patient Presenting with Non-convulsive Status Epilepticus

Subependimal Heterotopi: Non Konvülzif Status Epileptikus ile Gelen Hastada Gri Madde Heterotopisi

Aygül TANTİK PAK
Zahide MAİL GÜRKAN
Journal
Epilepsi
Pages
198–202
Publication Date
2022-10-17
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

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

This case is presented to draw attention to the non-convulsive status epilepticus, which is challenging to recognize and subependymal heterotopia, which may be encountered in the etiology of epileptic seizures.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Subependymal heterotopia is the most common subtype of gray matter heterotopies.
📊
Key Findings & Data:A 51-year-old patient who was admitted to our clinic with unconsciousness was diagnosed as non-convulsive status epilepticus by clinical and electroencephalography findings.
💡
Conclusion & Impact:This case is presented to draw attention to the non-convulsive status epilepticus, which is challenging to recognize and subependymal heterotopia, which may be encountered in the etiology of epileptic seizures.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Subependymal heterotopia is the most common subtype of gray matter heterotopies. It occurs as a result of a defect in neuronal migration. Subependymal heterotopia may cause epileptic seizures. A 51-year-old patient who was admitted to our clinic with unconsciousness was diagnosed as non-convulsive status epilepticus by clinical and electroencephalography findings. Subependymal heterotopy was also detected in the magnetic resonance imaging of the patient who recovered with antiepileptic treatments. This case is presented to draw attention to the non-convulsive status epilepticus, which is challenging to recognize and subependymal heterotopia, which may be encountered in the etiology of epileptic seizures.

Özet

Subepandimal heterotopi gri madde heterotopilerinin en sık görülen alt tipidir. Nöronal migrasyondaki defekt sonucu oluşur. Subepandimal heterotopi epileptik nöbetlere neden olabilir. Bilinç bozukluğu ile kliniğimize yatırılan 51 yaşındaki hastaya klinik ve elektroensefalografi bulgularıyla beraber non-konvulsif status epileptikus tanısı konuldu. Antiepileptik tedaviler ile kliniği düzelen hastada manyetik rezonans görüntülemede de subepandimal heterotopi saptandı. Tanınması oldukça zor olan non-konvulsif status epileptikusa ve epileptik nöbetlerin etyolojisinde karşılaşılabilen subepandimal heterotopiye dikkat çekmek için bu vaka sunulmuştur.

🔖

Cite This Article

PAK, A. T., GÜRKAN, Z. M. (2022). Subependymal Heterotopy: Gray Matter Heterotopia in a Patient Presenting with Non-convulsive Status Epilepticus. Epilepsi, Cilt: 26 - Sayı: 3, 198–202. https://ajindex.com/articles/501634

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Barkovich AJ, Kuzniecky RI. Gray matter heterotopia. Neurology 2000;55(11):1603−8
  2. Barkovich AJ, Kjos BO. Gray matter heterotopias: MR characteristics and correlation with developmental and neurologic manifestations. Radiology 1992;182(2):493−9
  3. Barkovich AJ. Subcortical heterotopia: a distinct clinicoradiologic entity. AJNR Am J Neuroradiol 1996;17(7):1315−22
  4. Raymond AA, Fish DR, Stevens JM, Sisodiya SM, Alsanjari N, Shorvon SD. Subependymal heterotopia: a distinct neuronal migration disorder associated with epilepsy. J Neurol Neurosurg Psychiatry 1994;57(10):1195−202
  5. Dubeau F, Li L, Bastos A, Andermann E, Andermann F. Periventricular nodular heterotopia: further delineation of the clinical syndromes. In: Spreafico R, Avanzini G, Andermann F, editors. Abnormal cortical development and epilepsy. London, UK: John Libbey, 1999. p. 203–17
  6. Shorvon S. Clinical forms of status epilepticus. In: S Shorvon, editor. Status epilepticus. Ist clinical features and treatment in children and adults. Cambridge, United Kingdom: Cambridge University Press; 1994. p. 34−138
  7. Sutter R, Semmlack S, Kaplan PW. Nonconvulsive status epilepticus in adults - insights into the invisible. Nat Rev Neurol 2016;12(5):281−93
  8. Trinka E, Cock H, Hesdorffer D, Rossetti AO, Scheffer IE, Shinnar S, et al. A definition and classification of status epilepticus-- Report of the ILAE Task Force on Classification of Status Epilepticus. Epilepsia 2015;56(10):1515−23
  9. Firosh Khan S, Ashalatha R, Thomas SV, Sarma PS. Emergent EEG is helpful in neurology critical care practice. Clin Neurophysiol 2005;116(10):2454−9
  10. Oddo M, Carrera E, Claassen J, Mayer SA, Hirsch LJ. Continuous electroencephalography in the medical intensive care unit. Crit Care Med 2009;37(6):2051−6
  11. 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(4):341−52.