Peter W Kaplan1, Andrew Billnitzer2, José Luis Fernández-Torre3. 1. 1 Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA. 2. 2 Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD, USA. 3. 3 Marqués de Valdecilla University Hospital, Santander, Cantabria, Spain.
Abstract
PURPOSE: To acquaint readers with the underrecognized subacute encephalopathy with seizures in chronic alcoholics (SESA) that has more recently been associated with different types of status epilepticus. METHODS: Case reports and review of the literature on SESA and nonconvulsive status epilepticus (NCSE). RESULTS: Two cases: one with alternating bifrontoparietal NCSE, and one with focal, confusional NCSE, with imaging and EEG correlates. CONCLUSION: Underrecognized SESA may present as NCSE with focal clinical, EEG and reversible diffusion-weighted MRI abnormalities, warranting expedited diagnosis and antiseizure treatment to minimize morbidity.
PURPOSE: To acquaint readers with the underrecognized subacute encephalopathy with seizures in chronic alcoholics (SESA) that has more recently been associated with different types of status epilepticus. METHODS: Case reports and review of the literature on SESA and nonconvulsive status epilepticus (NCSE). RESULTS: Two cases: one with alternating bifrontoparietal NCSE, and one with focal, confusional NCSE, with imaging and EEG correlates. CONCLUSION: Underrecognized SESA may present as NCSE with focal clinical, EEG and reversible diffusion-weighted MRI abnormalities, warranting expedited diagnosis and antiseizure treatment to minimize morbidity.
Authors: José L Fernández-Torre; Ignacio Banzo; Fernando Ortega-Valín; Ernesto Orozco-Sevilla; Isabel Martínez-Rodríguez; Enrique Marco de Lucas Journal: J Neurol Date: 2018-08-18 Impact factor: 4.849