Confusion and SIRPIDs regress with parenteral lorazepam

被引:19
作者
Kaplan, Peter W. [1 ]
Duckworth, Josh [2 ]
机构
[1] Johns Hopkins Bayview Med Ctr, Dept Neurol, Baltimore, MD 21224 USA
[2] Johns Hopkins Univ, Sch Med, Dept Neurosurg, Baltimore, MD 21205 USA
关键词
SIRPIDS; periodic discharges; confusion; treatment; status epilepticus; LATERALIZED EPILEPTIFORM DISCHARGES; NONCONVULSIVE STATUS EPILEPTICUS; CRITICALLY-ILL; EEG;
D O I
10.1684/epd.2011.0463
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Stimulus-induced rhythmic, periodic or ictal discharges (SIRPIDs) are EEG epileptiform periodic discharges (PD) induced by arousal. SIRPIDs lie along an ictal-interictal continuum with debate regarding urgency of treatment. In a patient with SIRPIDs, aphasia and confusion, i.v. lorazepam during EEG resulted in improved level of consciousness, return of verbal interaction and regression of SIRPIDs. This suggests that some forms of SIRPIDs may be associated with an ictal confusional state.
引用
收藏
页码:291 / 294
页数:4
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