Complex partial status epilepticus in a child

Silva, Délrio F.; Zanoteli, Edmar; Lima, Márcia Marques; Anghinah, Renato; Lima, José Geraldo Camargo

doi:10.1590/S0004-282X1995000200016

Abstracts

Complex partial status epilepticus (SE) has been reported rarely in children. We describe the clinical case of a 14 year-old girl with complex partial seizures (CPS) since age 10 who developed a complex partial SE probably because she was not adherent to treatment. The neurologic examination and computed tomography scan were normal. During the SE she received diazepam and phenytoin and became free of the seizures after 5 minutes. The ictal EEG showed spikes and slow waves over the right temporal region.

complex partial status epilepticus; EEG; child

Estado de mal epiléptico por crise parcial complexa tem sido raramente referido em crianças. Relatamos o quadro clínico de uma menina com 14 anos de idade, com crises parciais complexas desde os 10 anos e que desenvolveu estado de mal epiléptico por crises parciais complexas, provavelmente por não ser aderente ao tratamento. O exame neurológico e a tomografia computadorizada de crânio foram normais. Durante o estado de mal epiléptico ela recebeu fenitoína e diazepam e ficou livre das crises após 5 minutos. O EEG ictal mostrou espículas e ondas lentas na região temporal direita.

estado de mal epiléptico; crise parcial complexa; EEG; criança

Complex partial status epilepticus in a child

Estado de mal epiléptico por crise parcial complexa em uma criança

Délrio F. Silva^I; Edmar Zanoteli^II; Márcia Marques Lima^III; Renato Anghinah^III; José Geraldo Camargo Lima^IV

^IHead of the EEG Sector, Escola Paulista de Medicina (EPM)

^IIResident in Neurology

^IIIJunior Doctor of the EEG Sector

^IVFull Professor and Head of the Discipline of Neurology, EPM

SUMMARY

Complex partial status epilepticus (SE) has been reported rarely in children. We describe the clinical case of a 14 year-old girl with complex partial seizures (CPS) since age 10 who developed a complex partial SE probably because she was not adherent to treatment. The neurologic examination and computed tomography scan were normal. During the SE she received diazepam and phenytoin and became free of the seizures after 5 minutes. The ictal EEG showed spikes and slow waves over the right temporal region.

Key words:complex partial status epilepticus, EEG, child.

RESUMO

Estado de mal epiléptico por crise parcial complexa tem sido raramente referido em crianças. Relatamos o quadro clínico de uma menina com 14 anos de idade, com crises parciais complexas desde os 10 anos e que desenvolveu estado de mal epiléptico por crises parciais complexas, provavelmente por não ser aderente ao tratamento. O exame neurológico e a tomografia computadorizada de crânio foram normais. Durante o estado de mal epiléptico ela recebeu fenitoína e diazepam e ficou livre das crises após 5 minutos. O EEG ictal mostrou espículas e ondas lentas na região temporal direita.

Palavras-chave: estado de mal epiléptico, crise parcial complexa, EEG, criança.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Aceite: 2-janeiro-1995.

Dr. Délrio Façanha da Silva - Disciplina de Neurologia, Setor de Eletrencefalografia, Escola Paulista de Medicina - Rua Botucatu 740 - 04023-900 São Paulo SP - Brasil.

1. Ballenger CE, King DW, Gallagher BB. Partial complex status epilepticus. Neurology 1983, 33:1545-1552.
2. Cascino GD. Nonconvulsive status epilepticus in adults and children. Epilepsia 1993, 34 (Suppl 1):S21-S28.
3. Doose H. Nonconvulsive status epilepticus in childhood: clinical aspects and classification. In Delgado-Escueta AV, Wasterlain CG, Treiman DM, Porter RJ (eds). Status epilepticus. Advances in Neurology, vol 34. New York: Raven Press, 1983, p 83-92 .
4. Duchowny MS. Complex partial seizures of infancy. Arch Neurol 1987, 44:911-914.
5. Duchowny MS, Levin BE. Hemispheric lateralization of complex partial seizures in infancy: implications for development (Abstr). Neurology 1986, 36(Suppl 1):S191.
6. Gastaut H. Classification of status epilepticus. In Delgado-Escueta AV, Wasterlain CG, Treiman DM, Porter RJ (eds). Status epilepticus. Advances in neurology, vol 34. New York: Raven Press, 1983, p 15-35.
7. Gastaut H, Roger A. Sur la signification de certain fugues épileptiques: état de mal temporal. Rev Neurol 1956, 4:298-301.
8. Holmes GL. Partial complex seizures in children: an analysis of 69 seizures in 24 patients using EEG FM radiotelemetry and videotape recording. Electroenceph Clin Neurophysiol 1984, 57:13-20.
9. Jensen I. Temporal lobe epilepsy: types of seizures, age and surgical results. Acta Neurol Scand 1976, 53:335-357.
10. Lugaresi E, Pazzaglia P, Tassinari CA. Differentiation of "absence status" and "temporal lobe status". Epilepsia 1971, 12:77-87.
11. Markand ON, Wheeler GL, Pollack SL. Complex partial status epilepticus (psychomotor status). Electroenceph Clin Neurophysiol, 1978, 44:125-126.
12. Mayeux R, Lueders H. Complex partial status epilepticus: case report and proposal for diagnostic criteria. Neurology 1978, 28:957-961.
13. McBride MC, Dooling EC, Oppenheimer EY. Complex partial status epilepticus in young children. Ann Neurol 1981, 9:526-530.
14. Tomsom T, Svanborg E, Wedlund JE. Nonconvulsive status epilepticus: high incidence of complex partial status. Epilepsia 1986, 27:276-285.
15. Treiman DM, Delgado-Escueta AV. Complex partial status epilepticus. In Delgado-Escueta AV, Wasterlain CG, Treiman DM, Porter RJ (eds). Status epilepticus. Advances in neurology, vol 34. New York: Raven Press, 1983, p 69-81.
16. Williams D. The structure of emotions reflected in epileptic experiences. Brain 1956, 79:29-67.
17. Williamson PD, Spencer DD, Spencer SS, Novelly RA, Mattson RH. Complex partial status epilepticus: a depth-electrode study. Ann Neurol 1985, 18:647-654.
18. Wolf P. Zur Klinik und Psychopathologie des Status psychomotoricus. Nervenarzt 1970, 41:603-610.
19. Wyllie E, Chee M, Granstrom ML, DelGiudice E, Estes M, Comair Y, Pizzi M, Kotagal P, Bourgeois B, Luders H. Temporal lobe epilepsy in early childhood. Epilepsia 1993, 34:859-868.
20. Yamamoto N, Watanabe K, Negoro T, Takaesu E, Aso K, Furune S, Takahashi I. Complex partial seizures in children: ictal manifestations and their relation to clinical course. Neurology 1987, 37:1379-1382.

Publication Dates

Publication in this collection
20 Jan 2011
Date of issue
June 1995

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Ballenger CE, King DW, Gallagher BB. Partial complex status epilepticus. Neurology 1983, 33:1545-1552.

[2] 2. Cascino GD. Nonconvulsive status epilepticus in adults and children. Epilepsia 1993, 34 (Suppl 1):S21-S28.

[3] 3. Doose H. Nonconvulsive status epilepticus in childhood: clinical aspects and classification. In Delgado-Escueta AV, Wasterlain CG, Treiman DM, Porter RJ (eds). Status epilepticus. Advances in Neurology, vol 34. New York: Raven Press, 1983, p 83-92 .

[4] 4. Duchowny MS. Complex partial seizures of infancy. Arch Neurol 1987, 44:911-914.

[5] 5. Duchowny MS, Levin BE. Hemispheric lateralization of complex partial seizures in infancy: implications for development (Abstr). Neurology 1986, 36(Suppl 1):S191.

[6] 6. Gastaut H. Classification of status epilepticus. In Delgado-Escueta AV, Wasterlain CG, Treiman DM, Porter RJ (eds). Status epilepticus. Advances in neurology, vol 34. New York: Raven Press, 1983, p 15-35.

[7] 7. Gastaut H, Roger A. Sur la signification de certain fugues épileptiques: état de mal temporal. Rev Neurol 1956, 4:298-301.

[8] 8. Holmes GL. Partial complex seizures in children: an analysis of 69 seizures in 24 patients using EEG FM radiotelemetry and videotape recording. Electroenceph Clin Neurophysiol 1984, 57:13-20.

[9] 9. Jensen I. Temporal lobe epilepsy: types of seizures, age and surgical results. Acta Neurol Scand 1976, 53:335-357.

[10] 10. Lugaresi E, Pazzaglia P, Tassinari CA. Differentiation of "absence status" and "temporal lobe status". Epilepsia 1971, 12:77-87.

[11] 11. Markand ON, Wheeler GL, Pollack SL. Complex partial status epilepticus (psychomotor status). Electroenceph Clin Neurophysiol, 1978, 44:125-126.

[12] 12. Mayeux R, Lueders H. Complex partial status epilepticus: case report and proposal for diagnostic criteria. Neurology 1978, 28:957-961.

[13] 13. McBride MC, Dooling EC, Oppenheimer EY. Complex partial status epilepticus in young children. Ann Neurol 1981, 9:526-530.

[14] 14. Tomsom T, Svanborg E, Wedlund JE. Nonconvulsive status epilepticus: high incidence of complex partial status. Epilepsia 1986, 27:276-285.

[15] 15. Treiman DM, Delgado-Escueta AV. Complex partial status epilepticus. In Delgado-Escueta AV, Wasterlain CG, Treiman DM, Porter RJ (eds). Status epilepticus. Advances in neurology, vol 34. New York: Raven Press, 1983, p 69-81.

[16] 16. Williams D. The structure of emotions reflected in epileptic experiences. Brain 1956, 79:29-67.

[17] 17. Williamson PD, Spencer DD, Spencer SS, Novelly RA, Mattson RH. Complex partial status epilepticus: a depth-electrode study. Ann Neurol 1985, 18:647-654.

[18] 18. Wolf P. Zur Klinik und Psychopathologie des Status psychomotoricus. Nervenarzt 1970, 41:603-610.

[19] 19. Wyllie E, Chee M, Granstrom ML, DelGiudice E, Estes M, Comair Y, Pizzi M, Kotagal P, Bourgeois B, Luders H. Temporal lobe epilepsy in early childhood. Epilepsia 1993, 34:859-868.

[20] 20. Yamamoto N, Watanabe K, Negoro T, Takaesu E, Aso K, Furune S, Takahashi I. Complex partial seizures in children: ictal manifestations and their relation to clinical course. Neurology 1987, 37:1379-1382.