• Epileptic Disord · Mar 2010

    Case Reports

    Stimulus-sensitive post-anoxic focal motor seizures evolving into generalised myoclonic status epilepticus: a video-EEG study.

    • José L Fernández-Torre, Carlos Santos-Sánchez, Francisco Casariego-Pola, and Jesús Calleja.
    • Department of Clinical Neurophysiology; Marqués de Valdecilla University Hospital, Santander, Cantabria, Spain. jlfernandez@humv.es
    • Epileptic Disord. 2010 Mar 1;12(1):69-74.

    AbstractWe describe the case of a 62-year-old man who developed stimulus-induced focal motor seizures after prolonged cardiac arrest. During a video-EEG study, these focal motor seizures progressed into a generalised myoclonic status epilepticus. Both the severely decremented background activity on the EEG, and the absence of median and trigeminal somatosensory evoked potentials were in keeping with a devastating post-hypoxic encephalopathy and the patient died. Our clinical and electrophysiology data suggest that generalised myoclonic status epilepticus may occur in patients in whom the existence of severe cerebral damage prevents a complete development of all phases of classic generalised tonic-clonic seizures.

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