The clinical and EEG features of 9 cases of patients with nonconvulsive status epilepticus
ZHANG Min1 MA Xu1 YANG Chunxiao1 HOU Xiaohua2 BIAN Yi2 LIU Hui2 YAO Lifen2
1.Department of Neurology, the Second Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150086, China;
2.Department of Neurology, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China
Abstract：Objective To investigate the clinical and EEG features of 9 cases of nonconvulsive status epilepticus (NCSE) with the purpose of increasing cognition of the disease and avoiding missed diagnosis. Methods Nine cases diagnosed or highly suspected of NCSE from the First Affiliated Hospital of Harbin Medical University and the Second Affiliated Hospital of Harbin Medical University from June 2013 to June 2017 were selected, their etiological, clinical manifestations, EEG features and prognosis were analyzed. Results Among 9 NCSE patients, there were 5 cases with acute etiological factors, 2 cases with chronic etiological factors and 2 cases without any special disease. Four patients′cognitive ability was assessed by the mini-mental state examination (MMSE) scale at the stage of attack and cognitive disorder was found, 5 patients can't cooperate with the test. Three patients′ grades were improved after treatment, one was in line with before. All 9 patients presented EEG abnormal with multiple patterns, 7 cases with epileptic discharge, one with slow waves background and rhythmic delta waves discharge, one with EEG background break up accompany slow-wave gave out. Five cases′ seizure remitted after treatment, one case still had a seizure, one with the illness worsened, two cases were dead. Conclusion The etiological, clinical and EEG of NCSE are complex. Increasing cognition of the disease and giving EEG test timely is vital for diagnosis. The prognosis is in line with the etiological, patients with curable etiological factors of NCSE may have an ideal prognosis.
张敏1 马煦1 杨春晓1 侯晓华2 边艺2 刘卉2 姚丽芬2. 成人非惊厥性癫痫持续状态患者的临床及脑电图特征[J]. 中国医药导报, 2018, 15(2): 62-66.
ZHANG Min1 MA Xu1 YANG Chunxiao1 HOU Xiaohua2 BIAN Yi2 LIU Hui2 YAO Lifen2. The clinical and EEG features of 9 cases of patients with nonconvulsive status epilepticus. 中国医药导报, 2018, 15(2): 62-66.
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2018, Vol. 15 
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