Delirium caused by nonconvulsive status epilepticus |
| |
Authors: | Pittermann Patrick Gabriel Susanne Röschke Joachim |
| |
Affiliation: | SCIVIAS St. Valentinus-Krankenhaus, Klinik für Psychiatrie, Psychotherapie und Psychosomatik Bad Soden. Sebastian-Kneipp-Stra?e 11, Bad Soden am Taunus. pittermann@scivias-caritas.de |
| |
Abstract: | We report about a patient (66 years) who was referred to our psychiatric hospital because of a progressive confusional state with acute onset. The colleagues of the referring psychiatric hospital considered a first manic episode as the cause of the symptoms and under therapy with haloperidol the confusional state had shown a progression.The clinical examination's findings were a mild central facial paresis on the right side and a mild hemiparesis on the right side with elevated reflex levels.The patient was disoriented, he had cognitive and mnestic deficits. His reasoning was slowed, incoherent and perseverating. The patient had a slight euphoria.An EEG recording showed a continuous regional EEG-seizure pattern. In combination with the clinical symptoms we diagnosed a nonconvulsive status epilepticus. Under anticonvulsive treatment with Lorazepam and Valproic acid the status epilepticus sustended but a control EEG recording showed signs of a Valproate-encephalopathy. Under treatment with Topiramate symptoms ameliorated but due to a vascular dementia the patient still showed fluctuating symptoms of cognitive and mnestic disturbances. |
| |
Keywords: | |
本文献已被 PubMed 等数据库收录! |
|