VIDEO-EEG ILLUSTRATION OF TRANSIENT EPISODES OF LOSS OF CONSCIOUNESS CORRELATED WITH PLATEAU-WAVES DUE TO INTRACRANIAL HYPERTENSION - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Epileptic Disorders Année : 2020

VIDEO-EEG ILLUSTRATION OF TRANSIENT EPISODES OF LOSS OF CONSCIOUNESS CORRELATED WITH PLATEAU-WAVES DUE TO INTRACRANIAL HYPERTENSION

Nada El Youssef
  • Fonction : Auteur
Vadim Ivanov
  • Fonction : Auteur
Agnes Trebuchon
Fabrice Bartolomei

Résumé

A 54-year-old woman, with relapsing Mantle B-cell Lymphoma, was admitted for recurrent unresponsive episodes. During video-EEG recording, patient became transitory unresponsive for 12 minutes with starring and brachiofacial automatisms (video), with correlated diffuse EEG delta activity that resolved spontaneously, without epileptic discharge, cardiac arrhythmia, or hypotension (figure). No intracranial lesion existed on neuroimaging. Lumbar puncture revealed increased CSF pressure and infiltrating lymphomatous cells, confirming a diagnosis of leptomeningeal metastases. Transient neurological events can be linked to increased intracranial pressure generating a decrease of cerebral perfusion and EEG "plateau-waves" 1-5. EEG allow to distinguish this entity from differential diagnoses.

Domaines

Neurosciences
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Dates et versions

hal-03273633 , version 1 (29-06-2021)

Identifiants

Citer

Nada El Youssef, Vadim Ivanov, Agnes Trebuchon, Fabrice Bartolomei, Stanislas Lagarde. VIDEO-EEG ILLUSTRATION OF TRANSIENT EPISODES OF LOSS OF CONSCIOUNESS CORRELATED WITH PLATEAU-WAVES DUE TO INTRACRANIAL HYPERTENSION. Epileptic Disorders, 2020, 22 (4), pp.515-516. ⟨10.1684/epd.2020.1180⟩. ⟨hal-03273633⟩
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