Persistent focal seizures after cat scratch encephalopathy.
This report describes a 9-year-old child with status epilepticus and cat scratch disease. This patient's focal seizures and electroencephalographic changes persisted for 18 months after status epilepticus. This patient represents the third reported case of persistent focal seizures or electroencephalographic changes after status epilepticus secondary to cat scratch disease. This finding suggests that cat scratch encephalopathy may be a cause of localization-related epilepsy, and should be investigated when evaluating a patient with new-onset partial seizures.
Farooque
Pue
P
Department of Neurology, Drexel University College of Medicine, and St. Christopher's Hospital for Children, Philadelphia, Pennsylvania 19134, USA. puef@hotmail.com
Khurana
Divya S
DS
Melvin
Joseph J
JJ
D000212:Acyclovir / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000927:Anticonvulsants / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D002372:Cat-Scratch Disease / Q000150:complications* / Q000188:drug therapy; D002443:Ceftriaxone / Q000627:therapeutic use; D002648:Child; D004359:Drug Therapy, Combination; D004569:Electroencephalography; D004830:Epilepsy, Tonic-Clonic / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D008140:Lorazepam / Q000627:therapeutic use; D008297:Male; D010672:Phenytoin / Q000031:analogs & derivatives / Q000627:therapeutic use; D013226:Status Epilepticus / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014640:Vancomycin / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D000927:Anticonvulsants; D000998:Antiviral Agents; D010672:Phenytoin; D014640:Vancomycin; D002443:Ceftriaxone; C043114:fosphenytoin; D008140:Lorazepam; D000212:Acyclovir