Slow pseudoperiodic lateralized epileptiform discharges in nonconvulsive status epilepticus in a patient with cerebral palsy and a large central meningioma

Y. Z. Imam, D. Deleu, B. Mesraoua, A. D'souza, H. Al Hail, Peter W Kaplan

Research output: Contribution to journalArticle

Abstract

The presence of cerebral palsy and that of slow growing brain tumors are risk factors for convulsive and nonconvulsive status epilepticus. Nonconvulsive status epilepticus (NCSE) needs electroencephalographic (EEG) monitoring to be confirmed as it may be clinically subtle. Furthermore, it may present with a variety of ictal EEG morphologies. We report a case of a patient with cerebral palsy and a large central meningioma. Electroencephalogram showed a slow pattern of periodic lateralized epileptiform discharges (PLEDs) (a pattern considered as being situated in the ictal-interictal continuum) on an alpha background. The patient was treated for NCSE successfully with benzodiazepines followed by up-titration of his antiepileptic drug doses.

Original languageEnglish (US)
Pages (from-to)179-183
Number of pages5
JournalEpilepsy and Behavior Case Reports
Volume2
DOIs
Publication statusPublished - Feb 1 2015

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Keywords

  • Cerebral palsy
  • Meningioma
  • Nonconvulsive status epilepticus
  • Periodic lateralized epileptiform discharges

ASJC Scopus subject areas

  • Behavioral Neuroscience
  • Neurology
  • Clinical Neurology

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