Nonconvulsive status epilepticus as sign of tumor recurrence

Status epilepticus (SE) can be a sign of brain tumor progression or recurrence, but there are few reports of nonconvulsive status epilepticus (NCSE) being a sign of tumor progression or recurrence. Moreover, much remains to be elucidated about its clinical course, and outcome. This is the first repo...

Full description

Bibliographic Details
Main Authors: Kae Nishiyama, Yuichi Kubota, Hidenori Ohbuchi, Suguru Yokosako, Shinji Hagiwara
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Epilepsy & Behavior Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589986423000151
_version_ 1797815498184851456
author Kae Nishiyama
Yuichi Kubota
Hidenori Ohbuchi
Suguru Yokosako
Shinji Hagiwara
author_facet Kae Nishiyama
Yuichi Kubota
Hidenori Ohbuchi
Suguru Yokosako
Shinji Hagiwara
author_sort Kae Nishiyama
collection DOAJ
description Status epilepticus (SE) can be a sign of brain tumor progression or recurrence, but there are few reports of nonconvulsive status epilepticus (NCSE) being a sign of tumor progression or recurrence. Moreover, much remains to be elucidated about its clinical course, and outcome. This is the first report of NCSE associated with the progression of a metastatic brain tumor treated by surgical excision of the tumor. The patient was 74-year-old woman. She had a history of craniotomy for tumor resection and gamma knife treatment for multiple metastatic brain tumors originating from breast cancer. She suddenly developed dysarthria and right hemiparesis, followed by convulsive seizures in the right side of her body. Magnetic resonance imaging showed tumor recurrence in the left parietal lobe and worsening edematous changes around the tumor. Antiseizure medication was initiated, however her seizures did not improve; therefore, tumor resection was performed. Postoperatively, her consciousness, seizures, and electroencephalogram findings improved. NCSE caused by brain tumors may be refractory to treatment with antiseizure medications, and early surgical treatment may be useful for seizure control.
first_indexed 2024-03-13T08:23:42Z
format Article
id doaj.art-52574c09b95a432baf28e20d7f23d341
institution Directory Open Access Journal
issn 2589-9864
language English
last_indexed 2024-03-13T08:23:42Z
publishDate 2023-01-01
publisher Elsevier
record_format Article
series Epilepsy & Behavior Reports
spelling doaj.art-52574c09b95a432baf28e20d7f23d3412023-05-31T04:47:29ZengElsevierEpilepsy & Behavior Reports2589-98642023-01-0122100597Nonconvulsive status epilepticus as sign of tumor recurrenceKae Nishiyama0Yuichi Kubota1Hidenori Ohbuchi2Suguru Yokosako3Shinji Hagiwara4Department of Neurosurgery, Adachi Medical Center, Tokyo Women’s Medical University, Tokyo, JapanCorresponding author at: Department of Neurosurgery, Adachi Medical Center, Tokyo Women’s Medical University, 4-33-1 Kohoku, Adachi-ku, Tokyo 123-8558, Japan.; Department of Neurosurgery, Adachi Medical Center, Tokyo Women’s Medical University, Tokyo, JapanDepartment of Neurosurgery, Adachi Medical Center, Tokyo Women’s Medical University, Tokyo, JapanDepartment of Neurosurgery, Adachi Medical Center, Tokyo Women’s Medical University, Tokyo, JapanDepartment of Neurosurgery, Adachi Medical Center, Tokyo Women’s Medical University, Tokyo, JapanStatus epilepticus (SE) can be a sign of brain tumor progression or recurrence, but there are few reports of nonconvulsive status epilepticus (NCSE) being a sign of tumor progression or recurrence. Moreover, much remains to be elucidated about its clinical course, and outcome. This is the first report of NCSE associated with the progression of a metastatic brain tumor treated by surgical excision of the tumor. The patient was 74-year-old woman. She had a history of craniotomy for tumor resection and gamma knife treatment for multiple metastatic brain tumors originating from breast cancer. She suddenly developed dysarthria and right hemiparesis, followed by convulsive seizures in the right side of her body. Magnetic resonance imaging showed tumor recurrence in the left parietal lobe and worsening edematous changes around the tumor. Antiseizure medication was initiated, however her seizures did not improve; therefore, tumor resection was performed. Postoperatively, her consciousness, seizures, and electroencephalogram findings improved. NCSE caused by brain tumors may be refractory to treatment with antiseizure medications, and early surgical treatment may be useful for seizure control.http://www.sciencedirect.com/science/article/pii/S2589986423000151Nonconvulsive status epilepticusTumorRecurrenceVideo-EEG monitoring
spellingShingle Kae Nishiyama
Yuichi Kubota
Hidenori Ohbuchi
Suguru Yokosako
Shinji Hagiwara
Nonconvulsive status epilepticus as sign of tumor recurrence
Epilepsy & Behavior Reports
Nonconvulsive status epilepticus
Tumor
Recurrence
Video-EEG monitoring
title Nonconvulsive status epilepticus as sign of tumor recurrence
title_full Nonconvulsive status epilepticus as sign of tumor recurrence
title_fullStr Nonconvulsive status epilepticus as sign of tumor recurrence
title_full_unstemmed Nonconvulsive status epilepticus as sign of tumor recurrence
title_short Nonconvulsive status epilepticus as sign of tumor recurrence
title_sort nonconvulsive status epilepticus as sign of tumor recurrence
topic Nonconvulsive status epilepticus
Tumor
Recurrence
Video-EEG monitoring
url http://www.sciencedirect.com/science/article/pii/S2589986423000151
work_keys_str_mv AT kaenishiyama nonconvulsivestatusepilepticusassignoftumorrecurrence
AT yuichikubota nonconvulsivestatusepilepticusassignoftumorrecurrence
AT hidenoriohbuchi nonconvulsivestatusepilepticusassignoftumorrecurrence
AT suguruyokosako nonconvulsivestatusepilepticusassignoftumorrecurrence
AT shinjihagiwara nonconvulsivestatusepilepticusassignoftumorrecurrence