Electrical status epilepticus during sleep: a case report and review of the literature.
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| Title: | Electrical status epilepticus during sleep: a case report and review of the literature. |
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| Authors: | Zhang J (AUTHOR), Talley G (AUTHOR), Kornegay AL (AUTHOR), Edwards JC (AUTHOR) |
| Source: | American Journal of Electroneurodiagnostic Technology. Sep2010, Vol. 50 Issue 3, p211-218. 8p. |
| Abstract: | We present the case of a 5-year-old male who other than being six weeks premature at birth had no significant early medical problems, and had normal physical and cognitive development until preschool. It was then that his teacher noticed the child was having learning difficulties, staring spells, and difficulty expressing himself. He had a single generalized tonic-clonic seizure (GTCS) in September of 2008. A routine EEG revealed very frequent epileptiform discharges. He was started on levetiracetam and four months later his EEG showed continuous spike wave discharges during sleep. The spike wave discharges occurred in long runs, lasting a minute or more, without clear ictal evolution. The spike wave discharges were seen in a generalized distribution, maximal bifronto-temporally with some asymmetry (right greater than left). When the patient was subsequently awakened, the EEG dramatically improved and the spike wave discharges almost completely resolved. The spike and wave discharges recurred as the patient became drowsy again. Authors have described this as electrographic status during sleep (ESES) which is a typical childhood process of generalization of paroxysmal activity and can be seen with specific childhood epileptic encephalopathies. Treatment with levetiracetam was increased and his EEG and language subsequently returned to normal. [ABSTRACT FROM AUTHOR] |
| Copyright of American Journal of Electroneurodiagnostic Technology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 104928578 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Electrical status epilepticus during sleep: a case report and review of the literature. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Zhang+J%22">Zhang J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Talley+G%22">Talley G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kornegay+AL%22">Kornegay AL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Edwards+JC%22">Edwards JC</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Electroneurodiagnostic+Technology%22">American Journal of Electroneurodiagnostic Technology</searchLink>. Sep2010, Vol. 50 Issue 3, p211-218. 8p. – Name: Abstract Label: Abstract Group: Ab Data: We present the case of a 5-year-old male who other than being six weeks premature at birth had no significant early medical problems, and had normal physical and cognitive development until preschool. It was then that his teacher noticed the child was having learning difficulties, staring spells, and difficulty expressing himself. He had a single generalized tonic-clonic seizure (GTCS) in September of 2008. A routine EEG revealed very frequent epileptiform discharges. He was started on levetiracetam and four months later his EEG showed continuous spike wave discharges during sleep. The spike wave discharges occurred in long runs, lasting a minute or more, without clear ictal evolution. The spike wave discharges were seen in a generalized distribution, maximal bifronto-temporally with some asymmetry (right greater than left). When the patient was subsequently awakened, the EEG dramatically improved and the spike wave discharges almost completely resolved. The spike and wave discharges recurred as the patient became drowsy again. Authors have described this as electrographic status during sleep (ESES) which is a typical childhood process of generalization of paroxysmal activity and can be seen with specific childhood epileptic encephalopathies. Treatment with levetiracetam was increased and his EEG and language subsequently returned to normal. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of American Journal of Electroneurodiagnostic Technology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=104928578 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/1086508x.2010.11079775 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 211 Titles: – TitleFull: Electrical status epilepticus during sleep: a case report and review of the literature. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Zhang J – PersonEntity: Name: NameFull: Talley G – PersonEntity: Name: NameFull: Kornegay AL – PersonEntity: Name: NameFull: Edwards JC IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2010 Type: published Y: 2010 Identifiers: – Type: issn-print Value: 1086508X Numbering: – Type: volume Value: 50 – Type: issue Value: 3 Titles: – TitleFull: American Journal of Electroneurodiagnostic Technology Type: main |
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