PMID- 12810347 OWN - NLM STAT- MEDLINE DCOM- 20031209 LR - 20191107 IS - 1059-1311 (Print) IS - 1059-1311 (Linking) VI - 12 IP - 5 DP - 2003 Jul TI - Nonconvulsive status epilepticus due to a de novo contralateral focus during tiagabine adjunctive therapy. PG - 319-22 AB - We describe a 30-year-old woman with an infantile-onset epilepsy due to a left temporal gliotic area who developed a nonconvulsive status epilepticus (NCSE) during tiagabine (TGB) adjunctive therapy. The ictal EEG recording showed a de novo right temporal focus not previously evident. After the i.v. administration of 4 mg lorazepam, the NCSE episode rapidly resolved and her usual left temporal EEG abnormalities reappeared. To our knowledge this is the first case of paradoxical seizure exacerbation associated with TGB therapy in which the clinical and EEG features are congruous with a new contralateral focus. FAU - Imperiale, Daniele AU - Imperiale D AD - Neurologic Unit-Maria Vittoria Hospital, Torino, Italy. imperid@inwind.it FAU - Pignatta, Piero AU - Pignatta P FAU - Cerrato, Paolo AU - Cerrato P FAU - Montalenti, Elisa AU - Montalenti E FAU - Ravetti, Carlo AU - Ravetti C FAU - Benna, Paolo AU - Benna P LA - eng PT - Case Reports PT - Journal Article PL - England TA - Seizure JT - Seizure JID - 9306979 RN - 0 (Anticonvulsants) RN - 0 (Nipecotic Acids) RN - Z80I64HMNP (Tiagabine) SB - IM MH - Adult MH - Anticonvulsants/administration & dosage/*adverse effects MH - Dominance, Cerebral/*drug effects MH - Drug Therapy, Combination MH - Electroencephalography/drug effects MH - Epilepsy, Complex Partial/*drug therapy MH - Female MH - Gliosis/complications MH - Humans MH - Nipecotic Acids/administration & dosage/*adverse effects MH - Parietal Lobe/drug effects MH - Status Epilepticus/*chemically induced/diagnosis MH - Temporal Lobe/drug effects MH - Tiagabine EDAT- 2003/06/18 05:00 MHDA- 2003/12/10 05:00 CRDT- 2003/06/18 05:00 PHST- 2003/06/18 05:00 [pubmed] PHST- 2003/12/10 05:00 [medline] PHST- 2003/06/18 05:00 [entrez] AID - S1059131102002935 [pii] AID - 10.1016/s1059-1311(02)00293-5 [doi] PST - ppublish SO - Seizure. 2003 Jul;12(5):319-22. doi: 10.1016/s1059-1311(02)00293-5.