Proposition: Limbic encephalitis may represent limbic status epilepticus. A review of clinical and EEG characteristics.

Détails

ID Serval
serval:BIB_8AD407F9407C
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Proposition: Limbic encephalitis may represent limbic status epilepticus. A review of clinical and EEG characteristics.
Périodique
Epilepsy and Behavior
Auteur(s)
Kaplan P.W., Rossetti A.O., Kaplan E.H., Wieser H.G.
ISSN
1525-5069 (Electronic)
ISSN-L
1525-5050
Statut éditorial
Publié
Date de publication
2012
Peer-reviewed
Oui
Volume
24
Numéro
1
Pages
1-6
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
Limbic encephalitis (LE) with waxing and waning neuropsychiatric manifestations including behavioral, personality, psychiatric, and memory changes can evolve over days to months. Many features of LE show remarkable overlap with the characteristics of mesial-temporal (limbic) status epilepticus (MTLSE or LSE). With LE, these prolonged impaired states are assumed not to be due to ongoing epileptic activity or MTLSE, because scalp EEGs usually show no epileptiform spike-wave activity; cycling behavioral and motor changes are attributed to LE; there may be little immediate improvement with antiepileptic drugs (AEDs); and of course, implanted electrodes are rarely used. Conversely, it is known that in pre-surgical patients with refractory limbic epilepsy, implanted electrodes have revealed limbic seizures that cannot be seen at the scalp. This paper assembles a chain of inferences to advance the proposition that refractory LE might represent LSE more often than is thought, and that implanted electrodes should be considered in some cases. We present two cases that suggest that LE was also LSE, one of which warranted implanted electrodes (case 1).
Pubmed
Web of science
Création de la notice
25/05/2012 15:35
Dernière modification de la notice
03/03/2018 19:10
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