We describe the case of an octogenarian woman who experienced a severe alteration of mental state due to non-convulsive status epilepticus (NCSE) complicating an intraventricular hemorrhage. Our report emphasizes that NCSE may be the cause of unexplained neurological deterioration in elderly patients with acute brain injury.
Fernández-TorreJLDíaz-CastroverdeAGNon-convulsive status epilepticus in elderly individuals: Report of four representative cases. Age Ageing2004;33:78–81.
2.
BegemannMRowanAJTuhrimS.Treatment of refractory complex-partial status epilepticus with propofol: Case report. Epilepsia2000;41:105–109.
3.
DennisLJClaassenJHirschLJEmersonRGConnollyESMayerSANonconvulsive status epilepticus after subarachnoid hemorrhage. Neurosurgery2002;51:1136–1140.
4.
WasterlainCGFujikawaDGPenixLSankarR.Pathophysiological mechanisms of brain damage from status epilepticus. Epilepsia1993;34(suppl 1): S37–S53.
5.
KrumholzASungGYFisherRSBarryEBergeyGKGrattanLMComplex partial status epilepticus accompanied by serious morbidity and mortality. Neurology1995;45:1499–1504.
6.
Fernández-TorreJLFigolsJMartínez-MartínezMGonzález-RatoJCallejaJ.Localized-nonconvulsive status epilepticus: Further evidence of permanent cerebral damage. J Neurology2006;253:392–395.
7.
HirshLJContinuous EEG monitoring in the intensive care unit: An overview. J Clin Neurophysiology2004;21:332–340.