Epilepsia partialis continua of childhood involving bilateral brain hemispheres.

Abstract:

OBJECTIVES:Epilepsia partialis continua (Kojewnikow's syndrome) can be classified into 2 groups. The 1st group had stable neurological deficit, and the 2nd group had slowly progressive neurological deficit. The latter usually manifests not tetraplegia, but hemiplegia. We describe 3 patients with epilepsia partialis continua, rapid neurological and mental deterioration, resulting in tetraplegia and serious mental deficits within 2 to 3 years from the onset. RESULTS:Their interictal EEGs showed progressive findings of deterioration, which resulted in an inactive pattern or a pattern reminiscent of suppression-burst within several years. Their cranial CTs revealed rapid progressive atrophy of both hemispheres. Various screening tests failed to confirm a metabolic disease, a degenerative disease, or an infectious disease in the central nervous system. CONCLUSION:Frequent status epilepticus might contribute to the bilateral brain involvement and the serious neurological and mental outcomes in young patients with epileptia partialis continua.

journal_name

Acta Neurol Scand

authors

Takahashi Y,Kubota H,Fujiwara T,Yagi K,Seino M

doi

10.1111/j.1600-0404.1997.tb00296.x

subject

Has Abstract

pub_date

1997-12-01 00:00:00

pages

345-52

issue

6

eissn

0001-6314

issn

1600-0404

journal_volume

96

pub_type

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