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ICTAL CATATONIA AS NON-CONVULSIVE EPILEPTIC STATUS FORM OF PRESENTATION. A CASE REPORT

Catatonia ictal en el Servicio de Urgencia: una rara forma de presentación del estado epiléptico no convulsivo.

dc.contributoren-US
dc.contributornoes-ES
dc.creatorGaete, Germán; Hospital de Carabineros de Chile
dc.creatorVelásquez, Alvaro; Clinica Alemana
dc.date2016-12-13
dc.date.accessioned2019-11-11T18:26:22Z
dc.date.available2019-11-11T18:26:22Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/5133
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/110670
dc.descriptionThe differential diagnosis of non-convulsive status epilepticus (NCSE) is often complex due to a wide clinical variability of its presentation, including psychiatric manifestations. We report a 68 years old male with a history of depression treated with venlafaxine, mirtazapine, quetiapine and risperidone, presenting in the emergency room with confusion and generalized rigidity. A brain CT scan did not show lesions. A neuroleptic syndrome was initially suspected. At the third day the obtundation worsened and an electroencephalogram (EEG) was performed, which showed epileptiform abnormalities. Treatment with valproic acid resulted in disappearance of such abnormalities. After three weeks of mechanical ventilation, the patient was extubated and remained lucid and partially orientated in time and space.en-US
dc.descriptionThe differential diagnosis of non-convulsive status epilepticus (NCSE) is often complex due to a wide clinical variability of its presentation, including psychiatric manifestations. We report a 68 years old male with a history of depression treated with venlafaxine, mirtazapine, quetiapine and risperidone, presenting in the emergency room with confusion and generalized rigidity. A brain CT scan did not show lesions. A neuroleptic syndrome was initially suspected. At the third day the obtundation worsened and an electroencephalogram (EEG) was performed, which showed epileptiform abnormalities. Treatment with valproic acid resulted in disappearance of such abnormalities. After three weeks of mechanical ventilation, the patient was extubated and remained lucid and partially orientated in time and space.es-ES
dc.formatapplication/pdf
dc.languagespa
dc.publisherRevista Médica de Chilees-ES
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/5133/2755
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/5133/24039
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/5133/24040
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/5133/24301
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/5133/24505
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/5133/25492
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/5133/26212
dc.sourceRevista Médica de Chile; Vol. 145, núm. 1 (2017): ENERO 2017es-ES
dc.source0034-9887
dc.subjectCatatonia; Electroencephalography; Emergency Nursing; Status Epilepticusen-US
dc.subjectCatatonia; Electroencephalography; Emergency Nursing; Status Epilepticuses-ES
dc.titleICTAL CATATONIA AS NON-CONVULSIVE EPILEPTIC STATUS FORM OF PRESENTATION. A CASE REPORTen-US
dc.titleCatatonia ictal en el Servicio de Urgencia: una rara forma de presentación del estado epiléptico no convulsivo.es-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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