PMID- 21387700
OWN - NLM
STAT- MEDLINE
DCOM- 20110503
LR  - 20190918
IS  - 0009-918X (Print)
IS  - 0009-918X (Linking)
VI  - 51
IP  - 1
DP  - 2011 Jan
TI  - [A late-onset case of nonconvulsive status epilepticus of generalized epilepsy].
PG  - 43-6
AB  - We report a 78-year-old woman who had episodes of nonconvulsive status 
      epilepticus (NCSE) with dizziness. At 75 years of age, she had first seizure, but 
      was not well examined. At 78 years of age, she had brief myoclonic jerks of her 
      arms, soon after awakening, in May. She suffered from strong dizziness and was 
      admitted in our hospital at the end of June. The symptoms regressed with bed rest 
      in few days and she was discharged. However, she was admitted again with 
      dizziness in the middle of July. There were no myoclonic jerks of her arms or 
      legs and she could converse and interact normally, but was slightly disoriented 
      (JCS: 2). Blood test, Cerebrospinal fluid analyses and brain MRI were normal. An 
      EEG showed frequent intermittent generalized multiple spikes and slow wave 
      complexes and a 3-4 Hz generalized spike and slow wave complexes every 2-4 
      seconds during whole 20 minutes record. Intravenous injection of 5 mg diazepam 
      terminated status immediately. Thereafter, she was treated with sodium valproate 
      (400 mg/day). Her symptoms improved, and interictal epileptic discharges 
      extremely decreased. Late-onset NCSE of generalized epilepsy is rare. We 
      discussed this case as an important case for diagnosis of NCSE with subtle 
      symptom of dizziness.
FAU - Matsuyama, Yumi
AU  - Matsuyama Y
AD  - Department of Neurology, Hamanomachi Hospital.
FAU - Shigeto, Hiroshi
AU  - Shigeto H
FAU - Satake, Marie
AU  - Satake M
LA  - jpn
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Rinsho Shinkeigaku
JT  - Rinsho shinkeigaku = Clinical neurology
JID - 0417466
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Epilepsy, Generalized/*physiopathology
MH  - Female
MH  - Humans
MH  - Status Epilepticus/*physiopathology
EDAT- 2011/03/11 06:00
MHDA- 2011/05/04 06:00
CRDT- 2011/03/11 06:00
PHST- 2011/03/11 06:00 [entrez]
PHST- 2011/03/11 06:00 [pubmed]
PHST- 2011/05/04 06:00 [medline]
AID - 10.5692/clinicalneurol.51.43 [doi]
PST - ppublish
SO  - Rinsho Shinkeigaku. 2011 Jan;51(1):43-6. doi: 10.5692/clinicalneurol.51.43.