Non-convulsive status epilepticus induced by acute thalamic lesions: A report of three cases.
Acute symptomatic seizures
Generalized seizures
Non-convulsive status epilepticus
Thalamocortical network
Journal
Seizure
ISSN: 1532-2688
Titre abrégé: Seizure
Pays: England
ID NLM: 9306979
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
received:
27
12
2020
revised:
30
01
2021
accepted:
01
02
2021
pubmed:
2
5
2021
medline:
29
7
2021
entrez:
1
5
2021
Statut:
ppublish
Résumé
The thalamocortical network appears to play a pivotal role in ictogenesis. We herein present three cases of non-convulsive status epilepticus (SE), in adult patients without previous history of epilepsy or seizures, precipitated by acute thalamic vascular and metabolic-induced lesions. In all cases the EEG showed patterns consistent with generalized SE confirmed either by a fast and complete clinical and EEG response to anti-seizure medication or definitive subtle motor signs consistent with SE. We argue that the subcortical disruption of thalamocortical networks due to the thalamic lesion predisposed to the occurrence of non-convulsive SE. In patients with thalamic disorders and unexplained mental status changes EEG evaluation should always be considered.
Identifiants
pubmed: 33932837
pii: S1059-1311(21)00131-X
doi: 10.1016/j.seizure.2021.02.033
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1-4Informations de copyright
Copyright © 2021 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.