title: Prolonged ictal monoparesis with parietal Periodic Lateralised Epileptiform Discharges (PLEDs).
abstract: We report a patient with prolonged monoparesis and parietal periodic lateralised epileptiform discharges (PLEDs). The patient was a 73-year-old man with chronic myelomonocytic leukaemia who developed persisting monoparesis of the right arm, sensory aphasia, and finger agnosia, initially associated with focal clonic seizures. These neurological deficits remained for seven days without subsequent focal clonic seizures. The EEG showed left-sided PLEDs, maximal in the left occipito-parietal area. Ten days later, following phenytoin treatment, these symptoms suddenly improved and parietal PLEDs disappeared. Sustained PLEDs in the left parietal region may have been causally associated with ictal paresis in this patient.
authors.affiliation: Department of Neurology, Graduate School of Medicine, Kyoto University, Sakyoku, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Murahara
authors.forename: Masako
authors.initials: M
authors.lastname: Kinoshita
authors.forename: Kiyohide
authors.initials: K
authors.lastname: Usami
authors.forename: Masashi
authors.initials: M
authors.lastname: Matsui
authors.forename: Kouhei
authors.initials: K
authors.lastname: Yamashita
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Takahashi
authors.forename: Akio
authors.initials: A
authors.lastname: Ikeda
mesh_terms: D000368:Aged; D004569:Electroencephalography; D020938:Epilepsy, Partial, Motor / Q000209:etiology*; D020200:Hematoma, Subdural, Chronic / Q000150:complications*; D006801:Humans; D008297:Male; D010291:Paresis / Q000209:etiology*
keywords: EEG; PLEDs; inhibitory motor seizure