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Psychiatric disorders secondary to nonconvulsive status epilepticus of frontal origin. Two clinical case reports

Show simple item record Chicharro-Ciuffardi, Ada de Marinis-Palombo, Alejandro González-Silva, Mónica Gabler-Santelices, Guillermo 2017-05-25T15:11:50Z 2017-05-25T15:11:50Z 2012
dc.identifier.citation Actas Esp Psiquiatr. 2012 May-Jun;40(3):155-60 es_CL
dc.description.abstract Nonconvulsive status epilepticus (NCSE) is common but often under-diagnosed. Due to the absence of specific symptoms, it is frequently misdiagnosed as a psychiatric disorder, which delays treatment. The cases of two patients who exhibited psychiatric symptoms and subtle cognitive disturbances (without confusion) as the sole manifestation of frontal lobe NCSE are reported. Both patients were initially treated as psychiatric disorders (depression and anorexia nervosa). The correct diagnosis was established by the electroencephalographic study, in one case after the patient experienced a generalized tonic-clonic seizure and in the other, after failure to improve with supposedly adequate treatment. There are reports of patients with NCSE whose symptoms suggest a psychiatric disorder (inappropriate behavior, emotional disinhibition, perseveration, reduced speech and motivation). This can occur without altered consciousness and symptoms may fluctuate, making the correct diagnosis extremely difficult. This entity can occur at any age and without a previous history of seizures. A high level of suspicion is necessary for prompt electroencephalographic study to confirm the diagnosis. Early treatment will correct the symptoms and significantly improve quality of life for patients and their families. es_CL
dc.format.extent 6 es_CL
dc.language.iso en_US es_CL
dc.publisher Fundación Juan José López Ibor es_CL
dc.subject Behavior es_CL
dc.subject Electroencephalography es_CL
dc.subject Epilepsy es_CL
dc.subject Frontal lobe es_CL
dc.subject Status epilepticus es_CL
dc.subject Psychiatric disorder es_CL
dc.title Psychiatric disorders secondary to nonconvulsive status epilepticus of frontal origin. Two clinical case reports es_CL
dc.title.alternative Trastornos psiquiátricos secundarios a estados epilépticos no convulsivos de origen frontal. A propósito de dos casos clínicos es_CL
dc.type Artículo es_CL

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