Typical Absence Status in Adults: Diagnostic and Syndromic Considerations
| Autor: | Chrysostomos P. Panayiotopoulos, S. Giannakodimos, A. Agathonikou, Michael Koutroumanidis |
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| Rok vydání: | 1998 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty animal structures Epilepsies Myoclonic Comorbidity Status epilepticus Electroencephalography Central nervous system disease Epilepsy London Prevalence medicine Humans Monitoring Physiologic medicine.diagnostic_test business.industry Age Factors Videotape Recording Syndrome Semiology medicine.disease Discontinuation Surgery Treatment Outcome Epilepsy Absence Neurology Anticonvulsants Epilepsy Generalized Neurology (clinical) Juvenile myoclonic epilepsy medicine.symptom Cognition Disorders business |
| Zdroj: | Epilepsia. 39:1265-1276 |
| ISSN: | 1528-1167 0013-9580 |
| DOI: | 10.1111/j.1528-1157.1998.tb01324.x |
| Popis: | Summary: Purpose: To study the electroclinical features of typical absence status (TAS) in adults with syndromes of idiopathic generalized epilepsies (IGEs). Methods: Twenty-one patients with one or more spells of TAS were identified among 136 consecutive adult patients with IGEs. All patients with TAS had comprehensive electroclinical investigations and EEG or video-EEG recorded absences. Results: TAS occurred in 24.4% of 86 patients who had IGEs with typical absences alone or in combination with other seizures presisting in adult life. The prevalence of TAS appeared to be syndrome related, ranging from as high as 57.1% in perioral myoclonia with absences and 46.2% in “phantom” absences with GTCS to as low as 6.7% in juvenile myoclonic epilepsy. A varying degree of impairment of cognition was the cardinal clinical symptom shared in all TAS, but corresponding syndromes of IGE were often betrayed by other symptoms such as eyelid or perioral myoclonia. In phantom absences with GTCS, TAS was more numerous (p S 0.05) and more frequently the first overt seizure type (p = 0.006) than in any other IGE. Only in the syndrome of eyelid myoclonia with absences, TAS was always situation related, mainly as a result of antiepileptic drug discontinuation. Conclusions: The clinical EEG semiology and prevalence of TAS appear to be syndrome related with the highest prevalence in the syndromes of perioral myoclonia with absences and phantom absences with GTCS (p = 0.0024). Key Words: Typical absence status-Nonconvulsive status epilepticusIdiopathic generalized epilepsies-Epileptic syndromesAdults. |
| Databáze: | OpenAIRE |
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