Non-convulsive status epilepticus: 5 cases report and literature review
10.3760/cma.j.issn.1671-8925.2010.07.022
- VernacularTitle:非抽搐性癫痫持续状态五例及文献复习
- Author:
Chun-Bo WU
1
;
Xiao-Yuan LIU
;
Li-Ying PEI
;
Xiao-Fang XI
;
Jing YANG
;
Xian-Zeng LIU
;
Ji-Hong ZHU
Author Information
1. 北京大学人民医院
- Keywords:
Status epilepticus;
Electroencephalography;
Monitoring
- From:
Chinese Journal of Neuromedicine
2010;09(7):733-735
- CountryChina
- Language:Chinese
-
Abstract:
Objective To describe the clinical and electroencephalographic features as well as the possible etiology and treatment of patients with non-convulsive status epilepticus (NCSE). Methods We identified 5 adult patients with NCSE from the epilepsy database of the comprehensive epilepsy. Continuous electroencephalographic (EEG) monitoring was analyzed and chart review was performed to analyze their clinical and electroencephalographic features. Results The patients ranged from 19 to 66 years old. All of the 5 patients showed impaired consciousness: 4 demonstrated agitation and paranoia; 3 had both psychomotor retardation and amnesia; 2 developed verbal automatisms and agnosia; and 1 had disorientation. All the patients had associated generalized discharges but lateralized dominant. Three patients showed clinical improvement following administration of benzodiazepines. Conclusion The NCSE is not a rare case and continuous EEG monitoring can help the diagnosis. Prompt recognition and treatment may be necessary in improving the neurological outcome, and attention should be paid to the identification with other diseases that cause impairment of conscience.
