Non-convulsive status epilepticus with right arm apraxia: A case report
Non-convulsive SE (NCSE) is characterized by altered consciousness with or without slight motor manifestations or other phenomena such as aphasia, sensory, auditory, emotional, gustatory or other symptoms.A 69-year-old right-handed man developed the sudden onset of apraxia in his right arm. On admis...
| Hlavní autoři: | , , , , , |
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| Médium: | Článek |
| Jazyk: | English |
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Elsevier
2020-01-01
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| Edice: | Epilepsy & Behavior Reports |
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| On-line přístup: | http://www.sciencedirect.com/science/article/pii/S2589986420300198 |
| _version_ | 1829506281014034432 |
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| author | Barbara Ladisich Ferdinand Otto Lukas Machegger Waltraud Kleindienst Eugen Trinka Giorgi Kuchukhidze |
| author_facet | Barbara Ladisich Ferdinand Otto Lukas Machegger Waltraud Kleindienst Eugen Trinka Giorgi Kuchukhidze |
| author_sort | Barbara Ladisich |
| collection | DOAJ |
| description | Non-convulsive SE (NCSE) is characterized by altered consciousness with or without slight motor manifestations or other phenomena such as aphasia, sensory, auditory, emotional, gustatory or other symptoms.A 69-year-old right-handed man developed the sudden onset of apraxia in his right arm. On admission, the patient was alert and well oriented. In his past medical history, an intracerebral hematoma (ICH) in the left temporo-parietal area was noted occurred five years before the current admission.An electroencephalography (EEG) showed rhythmic theta–delta activity with fluctuating frequency between 1.5 and 5 Hz in the left centro-parieto-temporal area, which promptly responded to the intravenous injection of 2 mg clonazepam and 1000 mg levetiracetam. Apraxia resolved completely and the EEG demonstrated intermittent non-rhythmic delta–theta slowing in the left temporo-parietal area. A cranial CT scan showed residual cystic encephalomalacia in the left temporo-parietal area due to the previous ICH. An MRI exhibited an old parenchymal defect in the left temporo-parietal area with a residual hemosiderin rim on the susceptibility weighted imaging (SWI) and no diffusion restriction on the diffusion weighted image (DWI).NCSE presented with right arm apraxia in our patient with a post-hemorrhagic residual parenchymal defect in the left temporo-parietal area. |
| first_indexed | 2024-12-16T10:48:17Z |
| format | Article |
| id | doaj.art-d51a1f582fa94a9aa36ad02c2027a87b |
| institution | Directory Open Access Journal |
| issn | 2589-9864 |
| language | English |
| last_indexed | 2024-12-16T10:48:17Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Epilepsy & Behavior Reports |
| spelling | doaj.art-d51a1f582fa94a9aa36ad02c2027a87b2022-12-21T22:34:22ZengElsevierEpilepsy & Behavior Reports2589-98642020-01-0114100371Non-convulsive status epilepticus with right arm apraxia: A case reportBarbara Ladisich0Ferdinand Otto1Lukas Machegger2Waltraud Kleindienst3Eugen Trinka4Giorgi Kuchukhidze5Department of Neurology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, Austria; Department of Neurosurgery, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, AustriaDepartment of Neurology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, AustriaDepartment of Neuroradiology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, AustriaDepartment of Neurology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, AustriaDepartment of Neurology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, Austria; Centre for Cognitive Neuroscience, University of Salzburg, Austria; Institute of Public Health, Medical Decision Making and Health Technology Assessment, University for Health Sciences, Medical Informatics and Technology (UMIT), Hall in Tyrol, AustriaDepartment of Neurology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, Austria; Corresponding author at: Department of Neurology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Ignaz Harrer Str. 79, 5020 Salzburg, Austria.Non-convulsive SE (NCSE) is characterized by altered consciousness with or without slight motor manifestations or other phenomena such as aphasia, sensory, auditory, emotional, gustatory or other symptoms.A 69-year-old right-handed man developed the sudden onset of apraxia in his right arm. On admission, the patient was alert and well oriented. In his past medical history, an intracerebral hematoma (ICH) in the left temporo-parietal area was noted occurred five years before the current admission.An electroencephalography (EEG) showed rhythmic theta–delta activity with fluctuating frequency between 1.5 and 5 Hz in the left centro-parieto-temporal area, which promptly responded to the intravenous injection of 2 mg clonazepam and 1000 mg levetiracetam. Apraxia resolved completely and the EEG demonstrated intermittent non-rhythmic delta–theta slowing in the left temporo-parietal area. A cranial CT scan showed residual cystic encephalomalacia in the left temporo-parietal area due to the previous ICH. An MRI exhibited an old parenchymal defect in the left temporo-parietal area with a residual hemosiderin rim on the susceptibility weighted imaging (SWI) and no diffusion restriction on the diffusion weighted image (DWI).NCSE presented with right arm apraxia in our patient with a post-hemorrhagic residual parenchymal defect in the left temporo-parietal area.http://www.sciencedirect.com/science/article/pii/S2589986420300198EpilepsyEEGAnti-seizure drugsIntracerebral hematomaAmyloid angiopathy |
| spellingShingle | Barbara Ladisich Ferdinand Otto Lukas Machegger Waltraud Kleindienst Eugen Trinka Giorgi Kuchukhidze Non-convulsive status epilepticus with right arm apraxia: A case report Epilepsy & Behavior Reports Epilepsy EEG Anti-seizure drugs Intracerebral hematoma Amyloid angiopathy |
| title | Non-convulsive status epilepticus with right arm apraxia: A case report |
| title_full | Non-convulsive status epilepticus with right arm apraxia: A case report |
| title_fullStr | Non-convulsive status epilepticus with right arm apraxia: A case report |
| title_full_unstemmed | Non-convulsive status epilepticus with right arm apraxia: A case report |
| title_short | Non-convulsive status epilepticus with right arm apraxia: A case report |
| title_sort | non convulsive status epilepticus with right arm apraxia a case report |
| topic | Epilepsy EEG Anti-seizure drugs Intracerebral hematoma Amyloid angiopathy |
| url | http://www.sciencedirect.com/science/article/pii/S2589986420300198 |
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