Can absence status epilepticus be of frontal lobe origin? |
| |
Authors: | T Kudo K Sato K Yagi M Seino |
| |
Institution: | National Epilepsy Center, Shizuoka Higashi Hospital, Shizuoka;Clinical Research Institute, National Minami Okayama Hospital, Okayama, Japan |
| |
Abstract: | Five women with an unclassifiable nonconvulsive status epilepticus (NCSE) characterized by young age at onset, prolonged confusions, focal motor seizures, and both generalized spike-and-wave discharges and focal epileptic discharges on the EEG were studied with video-EEG monitoring. Electrographically, the NCSE originated from the left frontal lobe in 4 patients, and the left hemisphere with multifocal seizure discharges in 1 patient. Focal motor seizures seemed to originate from the left hemisphere in all 5 patients, particularly from its anterior part in 3 of them. Results show that the NCSE is complex partial status epilepticus of frontal lobe origin electroclinically mimicking absence status epilepticus once it reaches a full-blown phase. |
| |
Keywords: | nonconvulsive status epilepticus complex partial or absence status epilepticus focal motor seizure of frontal lobe origin secondary bilateral synchrony video-EEG monitoring |
|
|