Proglonged epileptic twilight states: continuous recordings with nasopharyngeal electrodes and videotape analysis.

Abstract:

:Confusion, speech arrest, automatic behavior, and amnesia characterize the prolonged twilight states of both petit mal and psychomotor status. However, in psychomotor status two electroclinical phases were differentiated: (1) A continuous twilight state with partial responsiveness and reactive automatisms interrupted by (2) staring, total loss of responsiveness, and stereotyped automatisms. During the first phase, with reactive behavior, the EEG showed bilateral diffuse slowing. During the second phase, with stereotyped automatisms, there were spreading right temporal 4- to 12-Hz discharges. Petit mal status had one continuous twilight state, during which both stereotyped and reactive automatisms merged as 1.5- to 4-Hz spike-wave complexes, and bimedial temporal 4-Hz discharges' appeared in the EEG.

journal_name

Neurology

journal_title

Neurology

authors

Belafsky MA,Rosman NP,Miller P,Waddell G,Boxley-Johnson J,Delgado-Escueta AV

doi

10.1212/wnl.28.3.239

subject

Has Abstract

pub_date

1978-03-01 00:00:00

pages

239-45

issue

3

eissn

0028-3878

issn

1526-632X

journal_volume

28

pub_type

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