Cognitive deficits during status epilepticus and time course of recovery: a case report.

Journal: Epilepsia
Published:
Abstract

We describe a young woman with progressive cognitive and neurological deficits during a parietal lobe status epilepticus (SE). Ictal FDG-PET showed left parietal lobe hypermetabolism and frontal lobe hypometabolism with concomitant EEG slowing. Cognitive and neurological deficits fully reversed more than 1 year after seizure remission, and were associated with normalization of FDG-PET and EEG. Our findings suggest that ictal hypometabolism and EEG delta activity at a distance from the epileptic focus were seizure-related phenomena, possibly representing inhibition in seizure propagation pathways, which could be responsible for the epileptic encephalopathy.

Authors
Wim Van Paesschen, Kathleen Porke, Katrien Fannes, Rik Vandenberghe, Andre Palmini, Koen Van Laere, Patrick Dupont
Relevant Conditions

Status Epilepticus, Seizures