title: Slow pseudoperiodic lateralized epileptiform discharges in nonconvulsive status epilepticus in a patient with cerebral palsy and a large central meningioma.
abstract: The presence of cerebral palsy and that of slow growing brain tumors are risk factors for convulsive and nonconvulsive status epilepticus. Nonconvulsive status epilepticus (NCSE) needs electroencephalographic (EEG) monitoring to be confirmed as it may be clinically subtle. Furthermore, it may present with a variety of ictal EEG morphologies. We report a case of a patient with cerebral palsy and a large central meningioma. Electroencephalogram showed a slow pattern of periodic lateralized epileptiform discharges (PLEDs) (a pattern considered as being situated in the ictal-interictal continuum) on an alpha background. The patient was treated for NCSE successfully with benzodiazepines followed by up-titration of his antiepileptic drug doses.
authors: Department of Neurology (Medicine), Hamad Medical Corporation, Doha, Qatar.
authors: Y Z
authors: YZ
authors: Imam
authors: Department of Neurology (Medicine), Hamad Medical Corporation, Doha, Qatar ; Weill Cornell Medical College - Qatar, Doha, Qatar.
authors: D
authors: D
authors: Deleu
authors: Department of Neurology (Medicine), Hamad Medical Corporation, Doha, Qatar.
authors: B
authors: B
authors: Mesraoua
authors: Department of Neurology (Medicine), Hamad Medical Corporation, Doha, Qatar.
authors: A
authors: A
authors: D'souza
authors: Department of Neurology (Medicine), Hamad Medical Corporation, Doha, Qatar.
authors: H
authors: H
authors: Al Hail
authors: Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: P W
authors: PW
authors: Kaplan
keywords: Cerebral palsy; Meningioma; Nonconvulsive status epilepticus; Periodic lateralized epileptiform discharges