Persistent occipital electrographic status epilepticus.
A 13-year-old girl of normal intellect had clinically silent occipital electrographic status epilepticus that persisted for more than 3 years. Neurologic examination and cranial magnetic resonance imaging were entirely normal. [18F]Fluorodeoxyglucose positron emission tomography demonstrated a hypermetabolic focus in the right occipital lobe. Electrographic status lasting years can be seen in epilepsia partialis continua. However, the absence of focal clinical seizures, nonprogressive course, and normal magnetic resonance imaging study seen in this patient are not features characteristic of epilepsia partialis continua.
Sheth
R D
RD
Department of Neurology, University of Wisconsin, Madison 53792-5132, USA. sheth@neurology.wisc.edu
Riggs
J E
JE
D000293:Adolescent; D000927:Anticonvulsants / Q000627:therapeutic use; D004569:Electroencephalography; D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D009778:Occipital Lobe / Q000000981:diagnostic imaging* / Q000378:metabolism*; D019275:Radiopharmaceuticals; D012720:Severity of Illness Index; D013226:Status Epilepticus / Q000175:diagnosis* / Q000188:drug therapy; D014055:Tomography, Emission-Computed
D000927:Anticonvulsants; D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18