Complex partial status epilepticus provoked by ingestion of alcohol: a case report.
A 27-year-old man had a 5-year history of a peculiar state characterized by clouded consciousness provoked by ingestion of alcohol. The episode was identified electroclinically as nonconvulsive status epilepticus and was activated by ingestion of alcohol. Single-photon emission computed tomography (SPECT) examination during the nonconvulsive status epilepticus showed increased regional cerebral perfusion in the right frontal region. This finding, along with the EEG expressions, supports a cortical origin of the nonconvulsive status epilepticus and a diagnosis of complex partial status epilepticus (CPSE). To our knowledge, this is the first report of a documented case of CPSE during intoxication provoked by alcohol ingestion and also of a SPECT examination during CPSE.
National Epilepsy Center, Shizuoka Higashi Hospital, Japan.
T
T
Fujiwara
M
M
Watanabe
K
K
Matsuda
M
M
Senbongi
K
K
Yagi
M
M
Seino
D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects*; D000435:Alcoholic Intoxication / Q000150:complications / Q000503:physiopathology; D003937:Diagnosis, Differential; D004569:Electroencephalography; D017029:Epilepsy, Complex Partial / Q000139:chemically induced* / Q000175:diagnosis / Q000503:physiopathology; D000431:Ethanol / Q000009:adverse effects*; D005625:Frontal Lobe / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013226:Status Epilepticus / Q000139:chemically induced / Q000175:diagnosis / Q000503:physiopathology; D015899:Tomography, Emission-Computed, Single-Photon
D000431:Ethanol