PMID- 32577612 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2589-9864 (Electronic) IS - 2589-9864 (Linking) VI - 14 DP - 2020 TI - Non-convulsive status epilepticus with right arm apraxia: A case report. PG - 100371 LID - 10.1016/j.ebr.2020.100371 [doi] LID - 100371 AB - Non-convulsive SE (NCSE) is characterized by altered consciousness with or without slight motor manifestations or other phenomena such as aphasia, sensory, auditory, emotional, gustatory or other symptoms. A 69-year-old right-handed man developed the sudden onset of apraxia in his right arm. On admission, the patient was alert and well oriented. In his past medical history, an intracerebral hematoma (ICH) in the left temporo-parietal area was noted occurred five years before the current admission. An electroencephalography (EEG) showed rhythmic theta-delta activity with fluctuating frequency between 1.5 and 5 Hz in the left centro-parieto-temporal area, which promptly responded to the intravenous injection of 2 mg clonazepam and 1000 mg levetiracetam. Apraxia resolved completely and the EEG demonstrated intermittent non-rhythmic delta-theta slowing in the left temporo-parietal area. A cranial CT scan showed residual cystic encephalomalacia in the left temporo-parietal area due to the previous ICH. An MRI exhibited an old parenchymal defect in the left temporo-parietal area with a residual hemosiderin rim on the susceptibility weighted imaging (SWI) and no diffusion restriction on the diffusion weighted image (DWI). NCSE presented with right arm apraxia in our patient with a post-hemorrhagic residual parenchymal defect in the left temporo-parietal area. CI - (c) 2020 The Authors. FAU - Ladisich, Barbara AU - Ladisich B AD - Department of Neurology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, Austria. AD - Department of Neurosurgery, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, Austria. FAU - Otto, Ferdinand AU - Otto F AD - Department of Neurology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, Austria. FAU - Machegger, Lukas AU - Machegger L AD - Department of Neuroradiology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, Austria. FAU - Kleindienst, Waltraud AU - Kleindienst W AD - Department of Neurology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, Austria. FAU - Trinka, Eugen AU - Trinka E AD - Department of Neurology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, Austria. AD - Centre for Cognitive Neuroscience, University of Salzburg, Austria. AD - Institute of Public Health, Medical Decision Making and Health Technology Assessment, University for Health Sciences, Medical Informatics and Technology (UMIT), Hall in Tyrol, Austria. FAU - Kuchukhidze, Giorgi AU - Kuchukhidze G AD - Department of Neurology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, Austria. LA - eng PT - Case Reports DEP - 20200602 PL - United States TA - Epilepsy Behav Rep JT - Epilepsy & behavior reports JID - 101750909 PMC - PMC7303554 OTO - NOTNLM OT - Amyloid angiopathy OT - Anti-seizure drugs OT - EEG OT - Epilepsy OT - Intracerebral hematoma COIS- None of the authors has any conflict of interest to disclose. EDAT- 2020/06/25 06:00 MHDA- 2020/06/25 06:01 PMCR- 2020/06/02 CRDT- 2020/06/25 06:00 PHST- 2020/03/26 00:00 [received] PHST- 2020/05/17 00:00 [revised] PHST- 2020/05/18 00:00 [accepted] PHST- 2020/06/25 06:00 [entrez] PHST- 2020/06/25 06:00 [pubmed] PHST- 2020/06/25 06:01 [medline] PHST- 2020/06/02 00:00 [pmc-release] AID - S2589-9864(20)30019-8 [pii] AID - 100371 [pii] AID - 10.1016/j.ebr.2020.100371 [doi] PST - epublish SO - Epilepsy Behav Rep. 2020 Jun 2;14:100371. doi: 10.1016/j.ebr.2020.100371. eCollection 2020.