Complex partial status epilepticus is an unrecognised feature in SESA syndrome: new insights into its pathophysiology.
We report a patient diagnosed as having subacute encephalopathy with frequent seizures in alcoholics (SESA syndrome), in which recurrent, non-convulsive seizures of frontal origin contributed significantly to the alteration of the mental state. Our case suggests that the occurrence of episodes of complex partial status epilepticus (CPSE) may contribute greatly to the origin and pathophysiology of the confusional state in this rare, epileptic entity.
Fernández-Torre
José L
JL
Department of Clinical Neurophysiology, University Hospital Marqués de Valdecilla, Santander, Cantabria, Spain. jlfernandez@humv.es
Hernández-Hernández
José L
JL
Jiménez-Bonilla
Julio
J
González-Mandly
Andrés
A
García-Regata
Oscar
O
D020751:Alcohol-Induced Disorders / Q000175:diagnosis / Q000503:physiopathology; D000437:Alcoholism / Q000175:diagnosis / Q000503:physiopathology*; D003221:Confusion / Q000175:diagnosis; D004569:Electroencephalography / Q000706:statistics & numerical data*; D017029:Epilepsy, Complex Partial / Q000175:diagnosis / Q000503:physiopathology*; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011174:Portugal; D013226:Status Epilepticus / Q000175:diagnosis / Q000503:physiopathology*; D013577:Syndrome; D015899:Tomography, Emission-Computed, Single-Photon / Q000706:statistics & numerical data; D014899:Wernicke Encephalopathy / Q000175:diagnosis / Q000503:physiopathology*