Tonic Upward Eyeball Deviation Mimicking Non-Convulsive Occipital Lobe Status Epilepticus That Was Induced by Hydrocephalus
| العنوان: | Tonic Upward Eyeball Deviation Mimicking Non-Convulsive Occipital Lobe Status Epilepticus That Was Induced by Hydrocephalus |
|---|---|
| المؤلفون: | Seung-Hun Oh, Ok Joon Kim, Jung-Won Shin, Min-Hee Woo |
| المصدر: | Journal of Epilepsy Research |
| بيانات النشر: | Korean Epilepsy Society, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | business.industry, medicine.medical_treatment, Unconsciousness, Occipital lobe epilepsy, Subdural hemorrhage, Case Report, Status epilepticus, medicine.disease, Hydrocephalus, 03 medical and health sciences, 0302 clinical medicine, Anesthesia, Convulsion, medicine, Non-convulsive status epilepticus, Decompressive craniectomy, 030212 general & internal medicine, medicine.symptom, business, Occipital lobe, Intraparenchymal hemorrhage, 030217 neurology & neurosurgery, Tonic upgaze |
| الوصف: | Several seizure-like symptoms are difficult to differentiate from epileptic convulsion, and then if they were misdiagnosed, they could be led to grave prognosis. A 41-year-old man was referred to the emergency room due to unconsciousness. Brain computed tomography (CT) revealed acute subdural hemorrhage along the left frontal lobe, and intraparenchymal hemorrhage in the left temporo-occipital lobe. After emergent decompressive craniectomy, he recovered an alert mental state but became progressively drowsy. Four days later, virtually continuous tonic upward eyeball deviation was observed. He had been taking antiepileptic drugs following an occipital lobectomy 20 years prior due to intractable epilepsy, and we assumed these upward eyeball deviations were symptoms of non-convulsive occipital lobe status epilepticus. Hence, doses and classes of antiepileptic drugs were modified, but clinical manifestations did not improve. Follow-up brain CT revealed newly developed hydrocephalus and compression of the mesencephalon. His symptoms fully resolved after a ventriculo-peritoneal shunt operation. In this case report, we describe the case of a patient exhibiting tonic upward eyeball deviation induced by hydrocephalus that was not associated with a seizure. |
| اللغة: | English |
| تدمد: | 2233-6257 2233-6249 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::24d2c0d4b96a5e98623c742250320fb9Test http://europepmc.org/articles/PMC6066698Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....24d2c0d4b96a5e98623c742250320fb9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22336257 22336249 |
|---|