Complex partial status epilepticus of extratemporal origin in a patient with systemic lupus erythematosus

The purpose of this case report is to describe the clinical, electroencephalographic and neuroimaging findings from a woman with systemic lupus erythematosus presenting with complex partial status epilepticus (CPSE) of neocortical temporo-parieto-occipital origin. The patient experienced complex vis...

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Bibliographic Details
Published in:Seizure (London, England) England), 2003-06, Vol.12 (4), p.245-248
Main Authors: Fernández-Torre, J L, Sánchez, J M, González, C, Fernández-Guinea, O
Format: Article
Language:English
Subjects:
Adult
Electroencephalography
Female
Hallucinations - etiology
Humans
Lupus Erythematosus, Systemic - complications
Lupus Erythematosus, Systemic - physiopathology
Magnetic Resonance Imaging
Neocortex - physiopathology
Status Epilepticus - etiology
Status Epilepticus - physiopathology
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Summary:The purpose of this case report is to describe the clinical, electroencephalographic and neuroimaging findings from a woman with systemic lupus erythematosus presenting with complex partial status epilepticus (CPSE) of neocortical temporo-parieto-occipital origin. The patient experienced complex visual hallucinations that initially were attributed to treatment with corticosteroids; however, an electroencephalogram (EEG) demonstrated the epileptic aetiology of her symptoms. CPSE should be considered as a possible cause of altered mental status in lupus. An urgent EEG is essential to make an accurate diagnosis.
ISSN:1059-1311
DOI:10.1016/S1059-1311(02)00259-5