PMID- 35224282 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220301 IS - 2433-3298 (Electronic) IS - 2433-328X (Print) IS - 2433-328X (Linking) VI - 5 IP - 1 DP - 2022 Jan 17 TI - Nonconvulsive Status Epilepticus Caused by Cerebrospinal Fluid Dissemination of a Salivary Duct Carcinoma: A Case Report. PG - 151-156 LID - 10.31662/jmaj.2021-0108 [doi] AB - Salivary duct carcinoma (SDC) is a rare and highly aggressive salivary gland tumor with rapid growth, distant metastasis, and a high recurrence rate. Moreover, the parotid gland is the most common site with a poor prognosis. A lower frequency of distance metastasis to the liver, skin, and brain has also been reported, although the lungs, bones, and lymph nodes are the most common sites of SDC metastasis. We report a case of nonconvulsive status epilepticus (NCSE) in a 73-year-old male comatose patient having SDC of the parotid gland with an unusual metastasis to the skin and brain diagnosed by frequent cerebrospinal fluid examinations. Meningeal carcinomatosis usually has a poor prognosis, and NCSE is a reversible cause of altered mentation. Clinicians should know the unique set of epilepsy etiologies in patients with malignant tumors. CI - Copyright (c) Japan Medical Association. FAU - Kato, Takahisa AU - Kato T AD - Department of Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan. FAU - Tsurukiri, Junya AU - Tsurukiri J AD - Department of Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan. FAU - Sano, Hidefumi AU - Sano H AD - Department of Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan. FAU - Nagura, Takeo AU - Nagura T AD - Department of Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan. FAU - Moriya, Mariko AU - Moriya M AD - Department of Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan. FAU - Suenaga, Hiroki AU - Suenaga H AD - Department of Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan. FAU - Matsunaga, Kyosuke AU - Matsunaga K AD - Department of Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan. FAU - Kanemura, Takeshi AU - Kanemura T AD - Department of Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan. FAU - Ueta, Yuki AU - Ueta Y AD - Department of Neurology, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan. FAU - Arai, Takao AU - Arai T AD - Department of Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan. LA - eng PT - Case Reports DEP - 20211228 PL - Japan TA - JMA J JT - JMA journal JID - 101769797 PMC - PMC8825421 OTO - NOTNLM OT - disturbance of consciousness OT - epilepsy OT - malignant tumor OT - nonconvulsive status epilepticus OT - salivary duct carcinoma COIS- None EDAT- 2022/03/01 06:00 MHDA- 2022/03/01 06:01 PMCR- 2021/12/28 CRDT- 2022/02/28 05:41 PHST- 2021/06/08 00:00 [received] PHST- 2021/09/21 00:00 [accepted] PHST- 2022/02/28 05:41 [entrez] PHST- 2022/03/01 06:00 [pubmed] PHST- 2022/03/01 06:01 [medline] PHST- 2021/12/28 00:00 [pmc-release] AID - 10.31662/jmaj.2021-0108 [doi] PST - ppublish SO - JMA J. 2022 Jan 17;5(1):151-156. doi: 10.31662/jmaj.2021-0108. Epub 2021 Dec 28.