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Clinical Presentations of Nonconvulsive Status Epilepticus

  • Chapter
Status Epilepticus

Part of the book series: Current Clinical Neurology ((CCNEU))

Abstract

There are descriptions of convulsions since neo-Babylonian times (1) reflecting the perception that an afflicted person was possessed by external forces or spirits. What was frightening to the observer was seeing a person possessed by a “seizure,” with “outside forces” prevailing over the person’s own control over mind and body. Occasionally such “possessions” were believed to be benign, but usually they were deemed to be evil, occasionally leading to ostracism of the individual from society or even relegation to an asylum.

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References

  1. Sakikku cuneiform tablet XXV–XXVI (obverse) 718–612 B.C. British Museum. Trans. JV Kinnier-Wilson.

    Google Scholar 

  2. Temkin O. The Falling Sickness. Baltimore and London: Johns Hopkins Press; 1971.

    Google Scholar 

  3. Prichard JC. A Treatise on Diseases of the Nervous System, 1st Vol. London: Underwood 1822:99.

    Google Scholar 

  4. Wilks S. Lectures on diseases of the nervous system. London: Churchill; 1878.

    Google Scholar 

  5. Bright R. Reports of medical cases selected with a view of illustrating the symptoms and cure of diseases by a reference to morbid anatomy, vol. 2. London: Taylor; 1831.

    Google Scholar 

  6. Taylor J. Selected Writings of John Hughlings-Jackson, Vol. 1. On Epilepsy and Epileptiforms. London: Hodder & Stoughton; 1931.

    Google Scholar 

  7. Shorvon S. Complex partial status epilepticus. In: Status Epilepticus: Its Clinical Features and Treatment in Children and Adults, Shorvon S. ed. Cambridge UK: Cambridge University Press; 1994:116–130.

    Google Scholar 

  8. Lennox WG. The treatment of epilepsy. Med Clin North Am 1945;29:1114–1128.

    Google Scholar 

  9. Gastaut H, Roger A. Sur la signification de certain fugues épileptiques: état de mal temporal. Rev Neurol 1956;94:298–301.

    PubMed  CAS  Google Scholar 

  10. Shneker BF, Fountain NB. Assessment of acute morbidity and mortality in nonconvulsive status epilepticus. Neurology 2003;61:1066–1073.

    PubMed  Google Scholar 

  11. Towne AR, Waterhouse EJ, Boggs JG, Garrett LK, Brown AJ, Smith JR, DeLorenzo RJ, Smith JR Jr. Prevalence of nonconvulsive status epilepticus in comatose patients. Neurology 2000;54:340–345.

    PubMed  CAS  Google Scholar 

  12. Kaplan PW. Nonconvulsive status epilepticus. Sem Neurology 1996;16:33–40.

    CAS  Google Scholar 

  13. Fountain NB, Waldman WA. Effects of benzodiazepines on triphasic waves: implications for nonconvulsive status epilepticus. J Clin Neurophysiol 2001;18:345–352.

    Article  PubMed  CAS  Google Scholar 

  14. Staufenberg EF, Brown SW. Some issues in non-convulsive status epilepticus in children and adolescents with learning difficulties. Seizure 1994;3:95–105.

    Article  PubMed  CAS  Google Scholar 

  15. Brodtkorb E, Sand T, Kristiansen A, Torbergsen T. Non-convulsive status epilepticus in the adult mentally retarded. Seizure 1993;2:115–129.

    Article  PubMed  CAS  Google Scholar 

  16. Guberman A, Cantu-Reyna G, Stuss D, Broughton R. Nonconvulsive generalized status epilepticus: clinical features, neuropsychological testing, and long-term follow-up. Neurology 1986;36:1284–1291.

    PubMed  CAS  Google Scholar 

  17. Mikati MA, Lee WL, DeLong GR. Protracted epileptiform encephalopathy: an ususual form of partial complex status epilepticus. Epilepsia 1985;26:563–571.

    PubMed  CAS  Google Scholar 

  18. Markand O, Wheeler G, Pollack S. Complex partial status epilepticus (psychomotor status). Neurology 1978;28:189–196.

    PubMed  CAS  Google Scholar 

  19. Doose H. Nonconvulsive status epilepticus in childhood: clinical aspects and classification. In: Delgado-Escueta AV, Wasterlain CG, Treiman DM, Porter RJ, eds. Status Epilepticus. Mechanisms of Brain Damage and Treatment. Advances in Neurology, Vol. 34. New York: Raven Press; 1983;83–92.

    Google Scholar 

  20. Stores G. Nonconvulsive status epilepticus in children. In: Pedley TA, Meldrum BS, eds. Recent Advances in Epilepsy, No. 3. New York: Churchill Livingstone; 1986;295–310.

    Google Scholar 

  21. Thomas P, Beaumanoir A, Genton P, Dolisi C, Chatel M. “De novo” absence status of late onset: report of 11 cases. Neurology 1992;42:104–110.

    PubMed  CAS  Google Scholar 

  22. Hess R, Scollo-Lavizzarri G, Wyss FE. Borderline cases of petit mal status. Eur Neurol 1971;5:137–154.

    PubMed  CAS  Google Scholar 

  23. Niedermeyer E, Fineyre F, Riley T, Uematsu S. Absence status (petit mal status) with focal characteristics. Arch Neurol 1979;36:417–421.

    PubMed  CAS  Google Scholar 

  24. Fagan KL, Lee SL. Prolonged confusion following convulsions due to generalized nonconvulsive status epilepticus. Neurology 1990;40:1689–1694.

    PubMed  CAS  Google Scholar 

  25. Thomas P, Zifkin B, Migneco O, Lebrun C, Darcourt J, Andermann F. Nonconvulsive status epilepticus of frontal origin. Neurology 1999;52:1174–1183.

    PubMed  CAS  Google Scholar 

  26. Drislane FW, Schomer DL. Clinical implications of generalized electrographic status epilepticus. Epilepsy Res 1994;19:111–121.

    Article  PubMed  CAS  Google Scholar 

  27. Privitera M, Hoffman M, Moore JL, Jester D. EEG detection of nontonic-clonic status epilepticus in patients with altered consciousness. Epilepsy Res 1994;18:155–166.

    Article  PubMed  CAS  Google Scholar 

  28. DeLorenzo RJ, Waterhouse EJ, Towne AR, Boggs JG, Ko D, DeLorenzo GA, Brown A, Garnett L. Persistence nonconvulsive status epilepticus after the control of convulsive status epilepticus. Epilepsia 1998;39:833–840.

    Article  PubMed  CAS  Google Scholar 

  29. Litt B, Wityk RJ, Hertz SH, Mullen PD, Weiss H, Ryan DD, Henry TR. Nonconvulsive status epilepticus in the critically ill elderly. Epilepsia 1998;39:1194–1202

    Article  PubMed  CAS  Google Scholar 

  30. Kaplan PW. Assessing the outcomes in patients with nonconvulsive status epilepticus: Nonconvulsive status epilepticus is underdiagosed, potentially overtreated, and confounded by comorbidity. J Clin Neurophysiol 1999;16:341–352.

    Article  PubMed  CAS  Google Scholar 

  31. Kaplan PW. Nonconvulsive status epilepticus. To lump or to split? Epilepsia 1994;35(suppl 8):9.

    Google Scholar 

  32. Handforth A, Cheng JT, Mandelkern MA, Treiman DM. Markedly increased mesiotemporal lobe metabolism in a case with PLEDs: Further evidence that PLEDs are a manifestation of partial status epilepticus. Epilepsia 1994;35:876–881.

    Article  PubMed  CAS  Google Scholar 

  33. Berkovic SF, Bladin PF. Absence status in adults. Clin Exp Neurol 1983;33:1545–1552.

    Google Scholar 

  34. Ellis JM, Lee SI. Acute prolonged confusion in later life as an ictal state. Epilepsia 1978;19:119–128.

    PubMed  CAS  Google Scholar 

  35. Lee SI. Nonconvulsive status epilepticus. Ictal confusion in later life. Arch Neurol 1985;42:778–781.

    PubMed  CAS  Google Scholar 

  36. Tomson T, Svanborg E, Wedlund JE. Nonconvulsive status epilepticus; high incidence of complex partial status. Epilepsia 1986;27:276–285.

    PubMed  CAS  Google Scholar 

  37. Ballenger CE, King DW, Gallagher BB. Partial complex status epilepticus. Neurology 1983;33:1545–1552.

    PubMed  Google Scholar 

  38. Kaplan PW. Nonconvulsive status epilepticus in the emergency room. Epilepsia 1996;37:643–650.

    Article  PubMed  CAS  Google Scholar 

  39. Dunne JW, Summers QA, Stewart-Wynne EG. Nonconvulsive status epilepticus: a prospective study in an adult general hospital. Q J Med 1987;62:117–126.

    PubMed  CAS  Google Scholar 

  40. Rohr-le-Floch J, Gauthier G, Beaumanoir A. États confusionelles d’origine épileptique: interêt de l’EEG fait en urgence. Rev Neurol (Paris) 1988;144:425–436.

    CAS  Google Scholar 

  41. Jagoda A, Riggio S. Nonconvulsive status epilepticus in adults. Am J Exper Med 1988;6:250–254.

    Article  CAS  Google Scholar 

  42. Snead OC III, Dean JC, Penry JK. Absence status epilepticus. In: Engel J Jr, Pedley TA, eds. Epilepsy: A Comprehensive Textbook. Vol. 1. Philadelphia: Lippincott-Raven; 1998;701–707.

    Google Scholar 

  43. Andermann F, Robb JP. Absence status: a reappraisal following review of thirty-eight patients. Epilepsia 1972;13:177–187.

    PubMed  CAS  Google Scholar 

  44. Tomson T, Lindbom U, Nilsson BY. Nonconvulsive status epilepticus in adults: thirty-two consecutive patients from a general hospital population. Epilepsia 1992;33:829–835.

    Article  PubMed  CAS  Google Scholar 

  45. Agathonikou A, Panayiotopoulos CP, Giannakodimos S, Koutroumanidis M. Typical absence status in adults: diagnostic and syndromic considerations. Epilepsia 1988;39:1265–1276.

    Article  Google Scholar 

  46. Cascino GD. Nonconvulsive status epilepticus in adults and children. Epilepsia 1993;34:521–528.

    Article  Google Scholar 

  47. Zappoli R. Two cases of prolonged epileptic twilight state with almost continuous “wave-spikes.” Electroencephalogr Clin Neurophysiol 1955;7:421–423.

    Article  PubMed  CAS  Google Scholar 

  48. Bornstein M, Coddon D, Song S. Prolonged alterations in behavior associated with a continuous EEG (spike and dome) abnormality. Neurology 1956;6:444–448.

    PubMed  CAS  Google Scholar 

  49. Friedlander WJ, Feinstein GH. Petit mal status: epilepsia minoris continua. Neurology 1956;6:357–363.

    PubMed  CAS  Google Scholar 

  50. Gastaut H, Bernard R, Naquet R, Wilson J. Étude électroclinique quotidienne d’un état confusionnel épileptique simple ayant duré un mois. Rev Neurol (Paris) 1956;94:298–301.

    CAS  Google Scholar 

  51. Goldensohn ES, Gold AP. Prolonged behavioral disturbances as ictal phenomena. Neurology 1960;10:1–9.

    PubMed  CAS  Google Scholar 

  52. Gastaut H. A propos d’une classification symptomatologique des états de mal épileptiques. In: Gastaut H, Roger J, Lob H, eds. Les états de mal épileptiques. Paris: Masson; 1967:1–8.

    Google Scholar 

  53. Niedermeyer E, Khalifeh R. Petit mal status (“spike-wave stupor”): an electro-clinical appraisal. Epilepsia 1965;6:250–262.

    PubMed  CAS  Google Scholar 

  54. Porter RJ. Epilepsy: 100 Elementary Principles. 2nd ed. Philadelphia: W. B. Saunders; 1989;57.

    Google Scholar 

  55. Roger J, Lob H, Tassinari, CA. Status epilepticus. In: Vinken PJ, Bruyn GW, eds. Handbook of Neurology, Vol. 15, The Epilepsies. Amsterdam: North Holland; 1974:145–188.

    Google Scholar 

  56. McLauchlan RS, Blume WT. Isolated fear in complex partial status epilepticus. Ann Neurol 1980;8:639–641.

    Article  Google Scholar 

  57. Williamson PD, Spencer DD, Spencer SS, Novelly RA, Mattson RH. Complex partial status epilepticus: a depth-electrode study. Ann Neurology 1985;18:647–654.

    Article  CAS  Google Scholar 

  58. Zappoli R, Zaccara G, Rossi L, Arnetoli B, Amantini A. Combined partial temporal and secondary generalized status epilepticus: Report of a case with fear bouts followed by prolonged confusion. Eur Neurology 1983;22:192–204.

    CAS  Google Scholar 

  59. Kaplan PW. Neurophysiologic and clinical correlations of epileptic nystagmus. Neurology 1993;43:2508–2514.

    PubMed  CAS  Google Scholar 

  60. Geier S. Prolonged psychic epileptic seizures: a study of the absence status. Epilepsia 1978;19:431–445.

    PubMed  CAS  Google Scholar 

  61. Sowa MV, Pituck S. Prolonged spontaneous complex visual hallucinations and illusions as ictal phenomena. Epilepsia 1989;30:524–526.

    PubMed  CAS  Google Scholar 

  62. Ayala G. Status epilepticus amauroticus. Bollettino del’Academia Medica, Roma, 1929;55:288–290.

    Google Scholar 

  63. Treiman DM. Electroclinical features of status epilepticus. J Clin Neurophysiol 1995;12:343–362.

    Article  PubMed  CAS  Google Scholar 

  64. Williamson PD. Complex partial status epilepticus. In: Engel J Jr, Pedley TA, eds. Epilepsy: A Comprehensive Textbook. Philadelphia: Lippincott-Raven; 1998:681–699.

    Google Scholar 

  65. Belafsky MA, Carwille S, Miller P, Waddell G, Boxley-Johnson J, Delgado-Escueta AV. Prolonged epileptic twilight states: continuous recordings with nasopharyngeal electrodes and videotape analysis. Neurology 1978;28:239–245.

    PubMed  CAS  Google Scholar 

  66. Kaplan PW. Nonconvulsive status epilepticus: A debate on its definition, comorbidity, treatment and outcome. Editorial/postscript. J Clin Neurophysiol 1999;16:353–360.

    Article  Google Scholar 

  67. Knight RT, Cooper J. Status epilepticus manifesting as reversible Wernicke’s aphasia. Epilepsia 1986;27:301–304.

    PubMed  CAS  Google Scholar 

  68. 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; 1983:69–81.

    Google Scholar 

  69. Weiser HG, Hailemariam S, Regard M, Landis T. Unilateral limbic epileptic status activity: stereo EEG, behavioral and cognitive data. Epilepsia 1985;26:19–29.

    Google Scholar 

  70. Oller-Daurella L. Crises épileptiques psychiques de longue durée. Rev Neuropsychiatr Infant 1970;18:547–557.

    PubMed  CAS  Google Scholar 

  71. Delgado-Escueta AV, Walsh GO. Type I complex partial seizures of hippocampal origin: excellent results of anterior temporal lobectomy. Neurology 1985;35:143–154.

    Article  PubMed  CAS  Google Scholar 

  72. Aguglia U, Tinuper P, Farnarier G. État confusionnel critique à départ frontal chez le sujet âgé. Rev EEG Neurophysiol (Paris) 1983;13:174–179.

    CAS  Google Scholar 

  73. Berkovic SF, Andermann F, Aubé M, Rémillard RM, Gloor P. Nonconvulsive confusional frontal status. Epilepsia 1985;26:529 (abstract).

    Google Scholar 

  74. Takeda A. Complex partial status epilepticus of frontal lobe origin. Jpn J Psychiatry 1988;42:525–530.

    CAS  Google Scholar 

  75. Rey M, Papy JJ. États d’obnubilation critique d’origine frontale un diagnostic clinique difficile. Rev EEG Neurophysiol (Paris) 1987;17:377–385.

    CAS  Google Scholar 

  76. Olnes MJ, Golding A, Kaplan PW. Nonconvulsive status epilepticus resulting from benzodiazepine withdrawal. Ann Intern Med 2003;139:956–958.

    PubMed  Google Scholar 

  77. Thomas P, Andermann F. Absence status in elderly patients is most often situation-related. In: Malafosse A, Genton P, Hirsch E, Marescaux C, Broglin D, Bernasconi R, eds. Idiopathic Generalized Epilepsies: Clinical, Experimental and Genetic Aspects. London: John Libbey; 1994:95–109.

    Google Scholar 

  78. Kudo T, Sato K, Yagi K, Seino M. Can absence status epilepticus be of frontal lobe origin? Acta Neurol Scand 1995;92:472–477.

    Article  PubMed  CAS  Google Scholar 

  79. Fejerman N, Di Blasi M. Status epilepticus of benign partial epilepsies in children: report of two cases. Epilepsia 1987;28:351–355.

    PubMed  CAS  Google Scholar 

  80. Boulloche J, Husson A, Le Luyer B, Le Roux P. Dysphagie, troubles du language et pointes ondes centro-temporales. Arch Françaises de Pédiatrie. 1990;47:115–117.

    CAS  Google Scholar 

  81. Colamaria V, Sgrò V, Caraballo R, Simeone M M, Zullini E, Fontana E, Zanetti R, Grimau-Meriono R, Dalla Bernardina B. Status epilepticus in benign rolandic epilepsy manifesting as anterior operculum syndrome. Epilepsia 1991;32:329–334.

    PubMed  CAS  Google Scholar 

  82. Landau W, Kleffner FR. Syndrome of acquired aphasia with convulsive disorder in children. Neurology 1957;7:523–530.

    PubMed  CAS  Google Scholar 

  83. Bishop DVM. Age of onset and outcome in acquired aphasia with convulsive disorder (Landau-Kleffner Syndrome). Dev Med Child Neurology 1985;27:705–712.

    Article  CAS  Google Scholar 

  84. Inoue Y, Fujiwara T, Matsuda K, Kubota H, Tanaka M, Yagi K, Yamamori K, Takahashi Y. Ring chromosome 20 and nonconvulsive status epilepticus: a new epileptic syndrome. Brain 1997;120:939–953.

    Article  PubMed  Google Scholar 

  85. Labar D, Barrera J, Solomon G, Harden C. Nonconvulsive status epilepticus in the elderly: a case series and a review of the literature. Epilepsy 1998;11:74–78.

    Article  Google Scholar 

  86. Kaplan PW. Nonconvulsive status in the elderly. Epilepsia 1998:39(suppl 6):122 (abstract).

    Google Scholar 

  87. Kaplan PW, ed. Neurologic Disease in Women. New York: Demos Medical Publishing; 1998.

    Google Scholar 

  88. Editorial. Nonconvulsive status epilepticus. Lancet 1987;1:958–959.

    Google Scholar 

  89. Kaplan PK. Behavioral manifestations of nonconvulsive status epilepticus. Epilepsy Behav 2003;3:122–139.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Neurology, Johns Hopkins Bayview Medical Center, Baltimore, MD

    Peter W. Kaplan MB, FRCP

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  1. Peter W. Kaplan MB, FRCP
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Editors and Affiliations

  1. Harvard Medical School, Comprehensive Epilepsy Program, Beth Israel Deaconess Medical Center, Boston, Massachusetts

    Frank W. Drislane MD (Associate Professor of Neurology) (Associate Professor of Neurology)

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Kaplan, P.W. (2005). Clinical Presentations of Nonconvulsive Status Epilepticus. In: Drislane, F.W. (eds) Status Epilepticus. Current Clinical Neurology. Humana Press. https://doi.org/10.1385/1-59259-945-1:197

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  • DOI: https://doi.org/10.1385/1-59259-945-1:197

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