Complex partial status epilepticus of extratemporal origin in a patient with systemic lupus erythematosus.
The purpose of this case report is to describe the clinical, electroencephalographic and neuroimaging findings from a woman with systemic lupus erythematosus presenting with complex partial status epilepticus (CPSE) of neocortical temporo-parieto-occipital origin. The patient experienced complex visual hallucinations that initially were attributed to treatment with corticosteroids; however, an electroencephalogram (EEG) demonstrated the epileptic aetiology of her symptoms. CPSE should be considered as a possible cause of altered mental status in lupus. An urgent EEG is essential to make an accurate diagnosis.
Fernández-Torre
J L
JL
Department of Clinical Neurophysiology, Hospital de Cabueñes, Gijón, Spain. ftorre@santandersupernet.com
Sánchez
J M
JM
González
C
C
Fernández-Guinea
O
O
D000328:Adult; D004569:Electroencephalography; D005260:Female; D006212:Hallucinations / Q000209:etiology; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000503:physiopathology*; D008279:Magnetic Resonance Imaging; D019579:Neocortex / Q000503:physiopathology*; D013226:Status Epilepticus / Q000209:etiology / Q000503:physiopathology*