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Titolo:
Partial non-convulsive status epilepsy in multiple sclerosis
Autore:
Maingueneau, F; Honnorat, J; Isnard, J; Tommasi-Davenas, C; Derex, L; Nighoghossian, N; Trouillas, P;
Indirizzi:
Hop Neurol, Serv Neurol B, F-69003 Lyon, France Hop Neurol Lyon France F-69003 urol, Serv Neurol B, F-69003 Lyon, France Hop Neurol, Serv Neurol Fonctionnelle & Epileptol, F-69003 Lyon, France Hop Neurol Lyon France F-69003 onnelle & Epileptol, F-69003 Lyon, France
Titolo Testata:
NEUROPHYSIOLOGIE CLINIQUE-CLINICAL NEUROPHYSIOLOGY
fascicolo: 6, volume: 29, anno: 1999,
pagine: 463 - 472
SICI:
0987-7053(199912)29:6<463:PNSEIM>2.0.ZU;2-C
Fonte:
ISI
Lingua:
FRE
Soggetto:
LATERALIZED EPILEPTIFORM DISCHARGES; SEIZURES; APHASIA;
Keywords:
multiple sclerosis; epilepsy; status epilepticus;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Honnorat, J Hop Neurol, Serv Neurol B, 59 Pinel Bvd, F-69003 Lyon, France Hop Neurol 59 Pinel Bvd Lyon France F-69003 9003 Lyon, France
Citazione:
F. Maingueneau et al., "Partial non-convulsive status epilepsy in multiple sclerosis", NEUROP CLIN, 29(6), 1999, pp. 463-472

Abstract

This report describes the observations of Two patients with a several years' history of multiple sclerosis who presented sudden neurologic impairment. The symptomatology was suggestive of a non-convulsive partial status epilepsy. The clinical presentation was a paroxysmal dysphasic phenomenon in the first case without any consciousness impairment, associated with slight right hemiparesis. Electroencephalographic investigations revealed asymmetrical patterns, left-sided slow waves and per-iodic lateralized epileptiform discharges (PLEDs). Antiepileptic treatments were partially effective and intravenous steroids were needed for complete recovery. For the second patient, clinical presentation was acute psychiatric symptoms with disorientation, alternating manic symptomatology and mutism. Electroencephalography showed left fronto-central rhythmic continuous slow wave and spike wave activity Intravenous antiepileptic treatment quickly improved the symptomatology. These observations draw attention to the fact that an epileptic cause should not be ruled out when a patient with multiple sclerosis presents sudden neurologic or psychiatric impairment. An early diagnosis allows immediate antiepileptic treatment. Intravenous steroids cart be added to stop seizures. (C) 1999 Editions scientifiques et medicales Elsevier SAS.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 05:27:32