An Adult Case of Hemiplegia, Aphasia, and Hemispheric Atrophy Associated with Febrile Status Epilepticus

A 43-year-old man with a preceding infection was transferred to our hospital for febrile status epilepticus (SE). Although treatment for SE was immediately initiated, it failed. Therefore, continuous anesthetics treatment with mechanical ventilation was initiated. No epileptic discharge was found on...

Descripción completa

Detalles Bibliográficos
Autores principales: Naoi, Tameto, Morita, Mitsuya, Koyama, Kansuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079925/
https://www.ncbi.nlm.nih.gov/pubmed/33116007
http://dx.doi.org/10.2169/internalmedicine.5175-20
_version_ 1783685320509751296
author Naoi, Tameto
Morita, Mitsuya
Koyama, Kansuke
author_facet Naoi, Tameto
Morita, Mitsuya
Koyama, Kansuke
author_sort Naoi, Tameto
collection PubMed
description A 43-year-old man with a preceding infection was transferred to our hospital for febrile status epilepticus (SE). Although treatment for SE was immediately initiated, it failed. Therefore, continuous anesthetics treatment with mechanical ventilation was initiated. No epileptic discharge was found on an electroencephalogram. However, total aphasia and right hemiplegia due to left hemispheric swelling were noted on day 5. His aphasia and hemiplegia did not improve. The mechanism underlying the hemispheric involvement remains unclear. The initial diagnosis should be made with care in patients with febrile SE; furthermore, intensive treatment should be administered in the acute phase.
format Online
Article
Text
id pubmed-8079925
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-80799252021-05-11 An Adult Case of Hemiplegia, Aphasia, and Hemispheric Atrophy Associated with Febrile Status Epilepticus Naoi, Tameto Morita, Mitsuya Koyama, Kansuke Intern Med Case Report A 43-year-old man with a preceding infection was transferred to our hospital for febrile status epilepticus (SE). Although treatment for SE was immediately initiated, it failed. Therefore, continuous anesthetics treatment with mechanical ventilation was initiated. No epileptic discharge was found on an electroencephalogram. However, total aphasia and right hemiplegia due to left hemispheric swelling were noted on day 5. His aphasia and hemiplegia did not improve. The mechanism underlying the hemispheric involvement remains unclear. The initial diagnosis should be made with care in patients with febrile SE; furthermore, intensive treatment should be administered in the acute phase. The Japanese Society of Internal Medicine 2020-10-28 2021-04-01 /pmc/articles/PMC8079925/ /pubmed/33116007 http://dx.doi.org/10.2169/internalmedicine.5175-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Naoi, Tameto
Morita, Mitsuya
Koyama, Kansuke
An Adult Case of Hemiplegia, Aphasia, and Hemispheric Atrophy Associated with Febrile Status Epilepticus
title An Adult Case of Hemiplegia, Aphasia, and Hemispheric Atrophy Associated with Febrile Status Epilepticus
title_full An Adult Case of Hemiplegia, Aphasia, and Hemispheric Atrophy Associated with Febrile Status Epilepticus
title_fullStr An Adult Case of Hemiplegia, Aphasia, and Hemispheric Atrophy Associated with Febrile Status Epilepticus
title_full_unstemmed An Adult Case of Hemiplegia, Aphasia, and Hemispheric Atrophy Associated with Febrile Status Epilepticus
title_short An Adult Case of Hemiplegia, Aphasia, and Hemispheric Atrophy Associated with Febrile Status Epilepticus
title_sort adult case of hemiplegia, aphasia, and hemispheric atrophy associated with febrile status epilepticus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079925/
https://www.ncbi.nlm.nih.gov/pubmed/33116007
http://dx.doi.org/10.2169/internalmedicine.5175-20
work_keys_str_mv AT naoitameto anadultcaseofhemiplegiaaphasiaandhemisphericatrophyassociatedwithfebrilestatusepilepticus
AT moritamitsuya anadultcaseofhemiplegiaaphasiaandhemisphericatrophyassociatedwithfebrilestatusepilepticus
AT koyamakansuke anadultcaseofhemiplegiaaphasiaandhemisphericatrophyassociatedwithfebrilestatusepilepticus
AT naoitameto adultcaseofhemiplegiaaphasiaandhemisphericatrophyassociatedwithfebrilestatusepilepticus
AT moritamitsuya adultcaseofhemiplegiaaphasiaandhemisphericatrophyassociatedwithfebrilestatusepilepticus
AT koyamakansuke adultcaseofhemiplegiaaphasiaandhemisphericatrophyassociatedwithfebrilestatusepilepticus

Ejemplares similares