Status epilepticus presenting as progressive dysphasia.
Status epilepticus is usually a straightforward diagnosis when a patient has two or more seizures without regaining consciousness. However, when status is non-convulsive and, in particular, has a temporal lobe flavour the clinical presentation may be misleading. Presentation with automatic or psychic behaviour is well recorded. We report a patient with nonconvulsive status who presented with progressive dysphasia with widespread CT and MRI changes. The dysphasia and imaging changes led to a diagnosis of a probable neoplastic brain process but reversed with anticonvulsant treatment.
D000328:Adult; D000927:Anticonvulsants / Q000008:administration & dosage; D001037:Aphasia / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D001927:Brain Diseases / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D003560:Cysts / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D003937:Diagnosis, Differential; D004569:Electroencephalography / Q000187:drug effects; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D013226:Status Epilepticus / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D013702:Temporal Lobe / Q000473:pathology / Q000503:physiopathology; D014057:Tomography, X-Ray Computed
D000927:Anticonvulsants