A late-onset case of nonconvulsive status epilepticus of generalized epilepsy

Yumi Matsuyama, Hiroshi Shigeto, Marie Satake

Research output: Contribution to journalArticle

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Abstract

We report a 78-year-old woman who had episodes of nonconvulsive status epilepticus (NCSE) with dizziness. At 75 years of age, she had first seizure, but was not well examined. At 78 years of age, she had brief myoclonic jerks of her arms, soon after awakening, in May. She suffered from strong dizziness and was admitted in our hospital at the end of June. The symptoms regressed with bed rest in few days and she was discharged. However, she was admitted again with dizziness in the middle of July. There were no myoclonic jerks of her arms or legs and she could converse and interact normally, but was slightly disoriented (JCS: 2). Blood test, Cerebrospinal fluid analyses and brain MRI were normal. An EEG showed frequent intermittent generalized multiple spikes and slow wave complexes and a 3-4 Hz generalized spike and slow wave complexes every 24 seconds during whole 20 minutes record. Intravenous injection of 5 mg diazepam terminated status immediately. Thereafter, she was treated with sodium valproate (400 mg/day). Her symptoms improved, and interictal epileptic discharges extremely decreased. Late-onset NCSE of generalized epilepsy is rare. We discussed this case as an important case for diagnosis of NCSE with subtle symptom of dizziness.

Original languageEnglish
Pages (from-to)43-46
Number of pages4
JournalClinical Neurology
Volume51
Issue number1
DOIs
Publication statusPublished - Jan 1 2011

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Generalized Epilepsy
Status Epilepticus
Dizziness
Myoclonus
Arm
Bed Rest
Valproic Acid
Hematologic Tests
Diazepam
Intravenous Injections
Cerebrospinal Fluid
Electroencephalography
Leg
Seizures
Brain

All Science Journal Classification (ASJC) codes

  • Clinical Neurology

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A late-onset case of nonconvulsive status epilepticus of generalized epilepsy. / Matsuyama, Yumi; Shigeto, Hiroshi; Satake, Marie.

In: Clinical Neurology, Vol. 51, No. 1, 01.01.2011, p. 43-46.

Research output: Contribution to journalArticle

Matsuyama, Yumi ; Shigeto, Hiroshi ; Satake, Marie. / A late-onset case of nonconvulsive status epilepticus of generalized epilepsy. In: Clinical Neurology. 2011 ; Vol. 51, No. 1. pp. 43-46.
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