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Catatonia ictal en el Servicio de Urgencia: una rara forma de presentación del estado epiléptico no convulsivo / Ictal catatonia presentation as a non-convulsive status epilepticus: a case report
Gaete, Germán; Velásquez, Álvaro.
Afiliação
  • Gaete, Germán; Hospital de Carabineros de Chile. Unidad de Neurofisiología. Santiago. CL
  • Velásquez, Álvaro; Hospital de Carabineros de Chile. Unidad de Neurofisiología. Santiago. CL
Rev. méd. Chile ; 145(1): 126-130, ene. 2017. ilus
Article em Es | LILACS | ID: biblio-845512
Biblioteca responsável: CL1.1
ABSTRACT
The differential diagnosis of non-convulsive status epilepticus (NCSE) is often complex due to a wide clinical variability of its presentation, including psychiatric manifestations. We report a 68 years old male with a history of depression treated with venlafaxine, mirtazapine, quetiapine and risperidone, presenting in the emergency room with confusion and generalized rigidity. A brain CT scan did not show lesions. A neuroleptic syndrome was initially suspected. At the third day the obtundation worsened and an electroencephalogram (EEG) was performed, which showed epileptiform abnormalities. Treatment with valproic acid resulted in disappearance of such abnormalities. After three weeks of mechanical ventilation, the patient was extubated and remained lucid and partially orientated in time and space.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Estado Epiléptico / Catatonia Tipo de estudo: Diagnostic_studies Limite: Aged / Humans / Male Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Estado Epiléptico / Catatonia Tipo de estudo: Diagnostic_studies Limite: Aged / Humans / Male Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile