[Atypical epilepsy symptomatology as cause of a dementia like state in a mentally and physically retarded patient].
We report on a 50-year-old man with mental retardation and right-sided hemi-paresis. He seemed to be cured from epilepsy. In a short time a mental and physical deterioration developed which looked like a dementia, which was suggested by vascular risk factors. The EEG showed marked epileptic activity characterized by spikes appearing every 10 seconds over the left temporal lobe. After introduction of carbamazepine, a fast and long-term improvement of symptoms was noticed resulting in self sufficiency. The fast and marked effect of an antiepileptic drug being given to the patient with an non-typical reactivation of epilepsy in which the dementia-syndrome was caused by a transitory cognitive impairment due to sub-clinic electric seizures or non-convulsive status epilepticus.
Arztlicher Dienst, Stiftungsbereich Behindertenhilfe, v. Bodelschwinghsche Anstalten Bethel, Bielefeld. Aerztlicher-Dienst@t-online.de
M
M
Tomka-Hoffmeister
B
B
Huber
M
M
Seidel
D000927:Anticonvulsants / Q000627:therapeutic use; D002220:Carbamazepine / Q000627:therapeutic use; D003704:Dementia / Q000209:etiology* / Q000523:psychology*; D004569:Electroencephalography; D004827:Epilepsy / Q000150:complications* / Q000188:drug therapy / Q000523:psychology*; D006801:Humans; D008607:Intellectual Disability / Q000150:complications* / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000150:complications; D013226:Status Epilepticus / Q000503:physiopathology / Q000523:psychology
D000927:Anticonvulsants; D002220:Carbamazepine