An Adult Case of Hemiplegia, Aphasia, and Hemispheric Atrophy Associated with Febrile Status Epilepticus

A 43-year-old man with a preceding infection was transferred to our hospital for febrile status epilepticus (SE). Although treatment for SE was immediately initiated, it failed. Therefore, continuous anesthetics treatment with mechanical ventilation was initiated. No epileptic discharge was found on...

Full description

Saved in:
Bibliographic Details
Published in:Internal Medicine 2021/04/01, Vol.60(7), pp.1089-1094
Main Authors: Naoi, Tameto, Morita, Mitsuya, Koyama, Kansuke
Format: Article
Language:English
Subjects:
acute encephalopathy
Adult
Anesthetics
Aphasia
Aphasia - diagnosis
Aphasia - etiology
Atrophy
Case Report
EEG
Epilepsy
Hemiplegia
Hemiplegia - diagnosis
Hemiplegia - etiology
hemispheric atrophy
Hemispheric laterality
HHE syndrome
Humans
Internal medicine
Male
Mechanical ventilation
Rasmussen encephalitis
status epilepticus
Status Epilepticus - complications
Status Epilepticus - diagnosis
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 43-year-old man with a preceding infection was transferred to our hospital for febrile status epilepticus (SE). Although treatment for SE was immediately initiated, it failed. Therefore, continuous anesthetics treatment with mechanical ventilation was initiated. No epileptic discharge was found on an electroencephalogram. However, total aphasia and right hemiplegia due to left hemispheric swelling were noted on day 5. His aphasia and hemiplegia did not improve. The mechanism underlying the hemispheric involvement remains unclear. The initial diagnosis should be made with care in patients with febrile SE; furthermore, intensive treatment should be administered in the acute phase.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.5175-20