PMID- 33500807 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220420 IS - 2229-5097 (Print) IS - 2152-7806 (Electronic) IS - 2152-7806 (Linking) VI - 11 DP - 2020 TI - Nonconvulsive status epilepticus associated with Alzheimer's disease mimicking symptomatic focal epilepsy following the resection of a frontal parasagittal meningioma. PG - 469 LID - 10.25259/SNI_709_2020 [doi] LID - 469 AB - BACKGROUND: Epilepsies are frequent in patients with Alzheimer's disease (AD); however, epilepsies in AD can easily go unrecognized because they usually present as focal impaired awareness seizures or nonconvulsive status epilepticus (NCSE) and can overlap with other symptoms of AD. CASE DESCRIPTION: We performed an epilepsy surgery in a 69-year-old woman with progressive cognitive impairment and consciousness disorder, who was diagnosed with focal NCSE related to the resected meningioma in the right frontal parasagittal region. Intraoperative electrocorticography revealed localized periodic paroxysmal discharges with beta and gamma activities in the neighboring cortex where the meningioma existed. The histopathological diagnosis of AD was first made from the resected epileptogenic cortex. CONCLUSION: Even when there is a suspected epileptogenic lesion that could cause focal NCSE, AD should be ruled out in elderly patients with progressive cognitive decline. CI - Copyright: (c) 2020 Surgical Neurology International. FAU - Abe, Keisuke AU - Abe K AD - Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Mukae, Nobutaka AU - Mukae N AD - Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Morioka, Takato AU - Morioka T AD - Department of Neurosurgery, Harasanshin Hospital, Fukuoka, Japan. FAU - Sangatsuda, Yuhei AU - Sangatsuda Y AD - Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Sakata, Ayumi AU - Sakata A AD - Department of Clinical Chemistry and Laboratory Medicine, Kyushu University Hospital, Fukuoka, Japan. FAU - Suzuki, Satoshi O AU - Suzuki SO AD - Department of Psychiatry, Shourai Hospital, Karatsu, Japan. FAU - Mizoguchi, Masahiro AU - Mizoguchi M AD - Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. LA - eng PT - Case Reports DEP - 20201229 PL - United States TA - Surg Neurol Int JT - Surgical neurology international JID - 101535836 PMC - PMC7827503 OTO - NOTNLM OT - Alzheimer's disease OT - Electrocorticography OT - Hydrocephalus OT - Meningioma OT - Nonconvulsive status epilepticus COIS- There are no conflicts of interest. EDAT- 2021/01/28 06:00 MHDA- 2021/01/28 06:01 PMCR- 2020/12/29 CRDT- 2021/01/27 05:52 PHST- 2020/10/07 00:00 [received] PHST- 2020/11/28 00:00 [accepted] PHST- 2021/01/27 05:52 [entrez] PHST- 2021/01/28 06:00 [pubmed] PHST- 2021/01/28 06:01 [medline] PHST- 2020/12/29 00:00 [pmc-release] AID - SNI-11-469 [pii] AID - 10.25259/SNI_709_2020 [doi] PST - epublish SO - Surg Neurol Int. 2020 Dec 29;11:469. doi: 10.25259/SNI_709_2020. eCollection 2020.