Status epilepticus presenting as progressive dysphasia

Status epilepticus is usually a straightforward diagnosis when a patient has two or more seizures without regaining consciousness. However, when status is non-convulsive and, in particular, has a temporal lobe flavour the clinical presentation may be misleading. Presentation with automatic or psychi...

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Bibliographic Details
Published in:Neuroradiology 1995-08, Vol.37 (6), p.438-439
Main Authors: MURCHISON, J. T, SELLAR, R. J, STEERS, A. J. W
Format: Article
Language:English
Subjects:
Adult
Anticonvulsants - administration & dosage
Aphasia - diagnosis
Aphasia - etiology
Aphasia - physiopathology
Biological and medical sciences
Brain Diseases - complications
Brain Diseases - diagnosis
Brain Diseases - physiopathology
Cysts - complications
Cysts - diagnosis
Cysts - physiopathology
Diagnosis, Differential
Electroencephalography - drug effects
Female
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Magnetic Resonance Imaging
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Status Epilepticus - complications
Status Epilepticus - diagnosis
Status Epilepticus - physiopathology
Temporal Lobe - pathology
Temporal Lobe - physiopathology
Tomography, X-Ray Computed
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Description
Summary:Status epilepticus is usually a straightforward diagnosis when a patient has two or more seizures without regaining consciousness. However, when status is non-convulsive and, in particular, has a temporal lobe flavour the clinical presentation may be misleading. Presentation with automatic or psychic behaviour is well recorded. We report a patient with nonconvulsive status who presented with progressive dysphasia with widespread CT and MRI changes. The dysphasia and imaging changes led to a diagnosis of a probable neoplastic brain process but reversed with anticonvulsant treatment.
ISSN:0028-3940
1432-1920
DOI:10.1007/BF00600083