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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
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