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Nonconvulsive Status Epilepticus Resembling Clinical Absence with Atypical EEG Pattern
Joint Authors
Mysore, Channaiah Srikanth
Murr, Najib
Zabad, Rana
Bertoni, John
Source
Case Reports in Neurological Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
We are reporting two cases: a patient with steroid responsive encephalopathy associated with autoimmune thyroiditis (SREAT) and another patient with secondary progressive multiple sclerosis (SPMS), both presenting with altered mental status (AMS) and later diagnosed with nonconvulsive atypical absence status epilepticus (AS), with atypical EEG changes.
Methods.
A report of two cases.
Results.
A patient with history of SREAT and the other with SPMS had multiple admissions due to AMS.
For both, EEG revealed the presence of a high voltage generalized sharply contoured theta activity.
A diagnosis of NCSE with clinical features of AS was made based on both clinical and EEG features.
There was significant clinical and electrographic improvement with administration of levetiracetam for both patients in addition to sodium valproate and Solumedrol for the SREAT patient.
Both patients continued to be seizure free on follow-up few months later.
Conclusions.
This is a report of two cases of atypical AS, with atypical EEG, in patients with different neurological conditions.
Prompt clinical and EEG recovery occurred following appropriate medical treatment.
We think that this condition might be underreported and could significantly benefit from prompt treatment when appropriately diagnosed.
American Psychological Association (APA)
Mysore, Channaiah Srikanth& Murr, Najib& Zabad, Rana& Bertoni, John. 2017. Nonconvulsive Status Epilepticus Resembling Clinical Absence with Atypical EEG Pattern. Case Reports in Neurological Medicine،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147189
Modern Language Association (MLA)
Mysore, Channaiah Srikanth…[et al.]. Nonconvulsive Status Epilepticus Resembling Clinical Absence with Atypical EEG Pattern. Case Reports in Neurological Medicine No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1147189
American Medical Association (AMA)
Mysore, Channaiah Srikanth& Murr, Najib& Zabad, Rana& Bertoni, John. Nonconvulsive Status Epilepticus Resembling Clinical Absence with Atypical EEG Pattern. Case Reports in Neurological Medicine. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147189
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147189