DİZZİNESS'IN NADİR BİR NEDENİ: NON-KONVULSİF STATUS EPİLEPTİKUS

Year 2010, Volume: 11 Issue: 1, 35 - 37, 03.08.2010

Utku Ogan Akyıldız Ali Akyol

Abstract

Nonkonvulsif status epileptikus (NKSE); genellikle kongnitif fonksiyon bozukluğu yapan, nörolojik defisitoluşturan ve sıklıkla tedavi edilebilen, geri dönüşümlü klinik bir tabloyu tanımlar. Otuz yaşında, sağ el dominant,evi ve bir çocuk sahibi bayan hasta; geliş şikayeti 8 yıldır hemen hemen her ay menstruayon döneminde, nadirende mestrual dönem dışında ortaya çıkan dengesizlik hissi ve sersemlikti. EEG'de tüm tetkik süresince 3-4 Hz'likbilateral, senkron, simetrik, diken, keskin dalgalar, diken- dalga paroksizmleri izlendi. Atak başlangıcındaçekilen EEG elektrofizyolojik status epileptikus olarak rapor edildi. Olgumuz sıklıkla menstruasyondönemlerinde ve nadiren de mens aralarında uzun süreli dizziness atakları tanımlayan bir NKSE olmasınedeniyle ilginç bulunmuş ve dizziness ayırıcı tanısında da hatırlanması için sunulmuştur

Keywords

Non-konvulsif status epileptikus, dizziness, mensturasyon

A Rare Cause of Dizzinees: Non-convulsive Status Epilepticus

Abstract

Non-convulsive status epilepticus (NCSE) defines, in general, a manifestation with cognitive dysfunction, neurological deficit and that is most often treatable and reversible. 30-year-old, right-hand dominant female patient with complaints feeling of imbalance and dizziness occurring during menstrual period almost every month and rarely out of menstrual period, was referred to clinic . In EEG, 3-4 Hz bilateral, synchronized, symmetric, spine, sharp waves and spine-wave paroxysms were observed during episodes. EEG, recorded at the beginning of episode, is reported as electrophysiological status epilepticus. Our patient with NCSE who described long-term dizziness episodes mostly during menstruation periods and rarely in between menstruation cycles; was considered as an interesting case and presented to keep in mind for differential diagnosis of dizziness.

Keywords

Non-convulsive status epilepticus, dizziness, menstruation

References

• 1. Schwab RS. A case of status epilepticus in petit mal. Electroenceph Clin Neurophysiol 1953;5:441-2.
• 2. Kaplan PW. Nonconvulsive status epilepticus. Semin Neurol 1996;16:33-40.
• 3. Kaplan PW. Nonconvulsive status epilepticus editorial. Neurology 2003;61:10356.
• 4. Agathonikou A, Panayiotopoulos Giannakodimos S, et al. Typical absence status in adults: diagnostic and syndromic considerations. Epilepsia 1988;39:1265-76.
• 5. Berkovic SF, Bladin PF. Absence status in adults. Clin Exp Neurol 1983;33:1545-52.
• 6. Treiman DM. Electroclinical features of status epilepticus. J Clin Neurophysiol 1995;12:343-62.
• 7. Kaplan PW. Intravenous valproate treatment of generalized nonconvulsive status epilepticus. Clin Electroencephalogr 1999;30:1-4.
• 8. O'Brien MD, Gilmour-White SK. Management of epilepsy in women. Postgrad Med J. 2005;81:278-85.