Simple partial status epilepticus manifested as homonymous hemianopsia: a rare intracranial recording
A 30-year-old woman with intractable seizures evaluated as surgical candidate. During presurgical evaluation an invasive electroencephalogram was recommended to define the location and extent of epileptogenic zone and relationship to epileptogenic lesion. On third monitoring night the patient compla...
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| Format: | Article |
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MDPI AG
2016-03-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/840 |
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| author | Anna Siatouni Stylianos Gatzonis Andreas Alexopoulos Nikos Georgakoulias Mathildi Papathanassiou Stefanos Korfias Vaso Zisimopoulou Damianos Sakas |
| author_facet | Anna Siatouni Stylianos Gatzonis Andreas Alexopoulos Nikos Georgakoulias Mathildi Papathanassiou Stefanos Korfias Vaso Zisimopoulou Damianos Sakas |
| author_sort | Anna Siatouni |
| collection | DOAJ |
| description | A 30-year-old woman with intractable seizures evaluated as surgical candidate. During presurgical evaluation an invasive electroencephalogram was recommended to define the location and extent of epileptogenic zone and relationship to epileptogenic lesion. On third monitoring night the patient complained of persistent homonymous hemianopsia following a habitual seizure. Concurrently, persistent epileptic activity was evident in a small, restricted area around the right calcarine fissure. The ictal discharges persisted for the next 30 h despite high-dose administration of intravenous antiepileptic drugs, until patient was taken to operating room. Simple partial status epilepticus presenting with pure visual symptoms is rare and difficult to diagnose, even more so when presenting with negative visual phenomena. Epileptic etiology of unexplained, paroxysmal negative visual symptoms should be considered in the differential diagnosis in patients with pre-existing epilepsy, as well as patients with no prior history of epilepsy. |
| first_indexed | 2024-04-14T02:16:22Z |
| format | Article |
| id | doaj.art-4927143546e641139119e5af3b0b496c |
| institution | Directory Open Access Journal |
| issn | 2039-7275 2039-7283 |
| language | English |
| last_indexed | 2024-04-14T02:16:22Z |
| publishDate | 2016-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-4927143546e641139119e5af3b0b496c2022-12-22T02:18:11ZengMDPI AGClinics and Practice2039-72752039-72832016-03-016110.4081/cp.2016.840335Simple partial status epilepticus manifested as homonymous hemianopsia: a rare intracranial recordingAnna Siatouni0Stylianos Gatzonis1Andreas Alexopoulos2Nikos Georgakoulias3Mathildi Papathanassiou4Stefanos Korfias5Vaso Zisimopoulou6Damianos Sakas7Epilepsy Surgery Unit, Department of Neurosurgery, University of Athens, School of Medicine, “Evangelismos” Hospital, AthensEpilepsy Surgery Unit, Department of Neurosurgery, University of Athens, School of Medicine, “Evangelismos” Hospital, AthensCleveland Clinic Epilepsy Center Neurological Institute, Cleveland, OHEpilepsy Surgery Unit, Department of Neurosurgery, University of Athens, School of Medicine, “Evangelismos” Hospital, AthensSecond Radiology Laboratory, University of Athens, “Attikon” Hospital, AthensEpilepsy Surgery Unit, Department of Neurosurgery, University of Athens, School of Medicine, “Evangelismos” Hospital, AthensDepartment of Neurology, “Evangelismos” Hospital, AthensEpilepsy Surgery Unit, Department of Neurosurgery, University of Athens, School of Medicine, “Evangelismos” Hospital, AthensA 30-year-old woman with intractable seizures evaluated as surgical candidate. During presurgical evaluation an invasive electroencephalogram was recommended to define the location and extent of epileptogenic zone and relationship to epileptogenic lesion. On third monitoring night the patient complained of persistent homonymous hemianopsia following a habitual seizure. Concurrently, persistent epileptic activity was evident in a small, restricted area around the right calcarine fissure. The ictal discharges persisted for the next 30 h despite high-dose administration of intravenous antiepileptic drugs, until patient was taken to operating room. Simple partial status epilepticus presenting with pure visual symptoms is rare and difficult to diagnose, even more so when presenting with negative visual phenomena. Epileptic etiology of unexplained, paroxysmal negative visual symptoms should be considered in the differential diagnosis in patients with pre-existing epilepsy, as well as patients with no prior history of epilepsy.https://www.clinicsandpractice.org/index.php/cp/article/view/840Electrocorticographysimple partial status epilepticushomonymous hemianopia. |
| spellingShingle | Anna Siatouni Stylianos Gatzonis Andreas Alexopoulos Nikos Georgakoulias Mathildi Papathanassiou Stefanos Korfias Vaso Zisimopoulou Damianos Sakas Simple partial status epilepticus manifested as homonymous hemianopsia: a rare intracranial recording Clinics and Practice Electrocorticography simple partial status epilepticus homonymous hemianopia. |
| title | Simple partial status epilepticus manifested as homonymous hemianopsia: a rare intracranial recording |
| title_full | Simple partial status epilepticus manifested as homonymous hemianopsia: a rare intracranial recording |
| title_fullStr | Simple partial status epilepticus manifested as homonymous hemianopsia: a rare intracranial recording |
| title_full_unstemmed | Simple partial status epilepticus manifested as homonymous hemianopsia: a rare intracranial recording |
| title_short | Simple partial status epilepticus manifested as homonymous hemianopsia: a rare intracranial recording |
| title_sort | simple partial status epilepticus manifested as homonymous hemianopsia a rare intracranial recording |
| topic | Electrocorticography simple partial status epilepticus homonymous hemianopia. |
| url | https://www.clinicsandpractice.org/index.php/cp/article/view/840 |
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