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...
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Format: | Article |
Language: | English |
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Elsevier
2023-01-01
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Series: | Epilepsy & Behavior Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2589986423000151 |
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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 |
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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 |
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