Continuous spikes and waves during slow sleep (CSWS): outcome in adulthood.
We report a longitudinal, electroencephalographic and neuropsychological analysis of epilepsy with continuous spikes and waves during slow sleep (CSWS) in a 19 year-old boy. The clinical course fluctuated, with temporary worsening or improvement of the paroxysmal abnormalities, epilepsy and cognitive functions. At the end of the follow-up period, seizures persisted. Evaluation of the boy's behaviour, language and cognitive function suggested a dysexecutive syndrome. We discuss the relationship between paroxysmal abnormalities and neuropsychological disorders.
Hommet
C
C
Service de Neurologie, Hôpital Bretonneau, Tours, France. chommet@aol.com
Billard
C
C
Barthez
M A
MA
Gillet
P
P
Perrier
D
D
Lucas
B
B
de Toffol
B
B
Autret
A
A
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use*; D003072:Cognition Disorders / Q000175:diagnosis; D018450:Disease Progression; D004569:Electroencephalography; D004827:Epilepsy / Q000175:diagnosis* / Q000188:drug therapy*; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D012720:Severity of Illness Index; D012895:Sleep, REM / Q000502:physiology*; D016896:Treatment Outcome
D000927:Anticonvulsants