Complex partial status epilepticus simulating an ischemic insult: case report

A patient presenting complex partial status epilepticus (CPSE) had a clinical history and neurological picture on admission that mimicked a cerebrovascular insult. On admission she was confused and totally unresponsive to verbal stimuli. EEG showed high voltage paroxysmal activity on the left hemisp...

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Bibliographic Details
Published in:	Italian journal of neurological sciences Vol. 12; no. 2; p. 207
Main Authors:	Musolino, R, Marabello, L, De Domenico, P, Labate, C, Bruzzese, T, Galatioto, S, Gallitto, G
Format:	Journal Article
Language:	English
Published:	Italy 01-04-1991
Subjects:	Brain Ischemia - diagnosis Brain Ischemia - physiopathology Diagnosis, Differential Electroencephalography Female Humans Middle Aged Status Epilepticus - diagnosis Status Epilepticus - physiopathology
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Summary:	A patient presenting complex partial status epilepticus (CPSE) had a clinical history and neurological picture on admission that mimicked a cerebrovascular insult. On admission she was confused and totally unresponsive to verbal stimuli. EEG showed high voltage paroxysmal activity on the left hemisphere, prominent on the temporoccipital leads and tending to spread to the opposite regions. Intravenous diazepam led to resolution of the clinical and EEG picture within 24 hours, only a medium voltage slow wave focus being present on the left temporal regions. CPSE should be considered whenever a prolonged impairment of consciousness is present. Only accurate EEG recordings permit correct diagnosis in doubtful cases.
ISSN:	0392-0461
DOI:	10.1007/BF02337035