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
Neurologyjournal_title
Neurologyauthors
Belafsky MA,Rosman NP,Miller P,Waddell G,Boxley-Johnson J,Delgado-Escueta AVdoi
10.1212/wnl.28.3.239subject
Has Abstractpub_date
1978-03-01 00:00:00pages
239-45issue
3eissn
0028-3878issn
1526-632Xjournal_volume
28pub_type
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