Neurología : publicación oficial de la Sociedad Española de Neurología
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Non convulsive status epilepticus (NCSE) is defined by prolonged loss of awareness and epileptiform activity on electroencephalogram. There are several types of NCSE depending of the clinical and electroencephalographic manifestations: generalized (typical or atypical absence status, status epilepticus during sleep) and partial (complex partial and simple partial status epilepticus). NCSE diagnosis and treatment should be performed early due to the potential brain damage associated to it, specially in complex partial NCSE. Accurate differential diagnosis from other imitators of NCSE (psychogenic seizures, metabolic encephalopaties or antiepileptic drug intoxication) is necessary for early treatment.
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The aim of this study was to review the advances in cough, exertional and sexual headaches. We perform a critical analysis of the literature and of our experience with 72 patients. About one-half of patients having cough headache will have benign cough headache. ⋯ Subarachnoid bleeding due to aneurism is the most frequent etiology for exertional and sexual headaches. Cough headache and exertional headache are separate clinical entities, whereas exertional headache and sexual headache seem to be different expressions of the same clinical entity. These data allow, in addition, the clinical differentiation between benign and symptomatic cough headache.