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Epileptic Disorders

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Stimulus-induced rhythmic, periodic ictal discharges during funduscopic examination in a patient with status epilepticus Volume 21, numéro 5, October 2019

Illustrations


  • Figure 1

  • Figure 2
Auteurs
1 Department of Neurology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan
2 Department of Neurology, Tainan Hospital, Ministry of Health and Welfare, Tainan
3 Department of Neurology, Tainan Sin-Lau Hospital, Tainan, Taiwan
* Correspondence: Chin-Wei Huang Department of Neurology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
a Authors contributed equally

Stimulus-induced rhythmic, periodic, or ictal discharges (SIRPIDs), an unusual pattern in electroencephalography, have been described in critically-ill encephalopathic patients in response to alerting stimuli. The phenomenon may be seen in patients with a broad range of aetiologies, including cerebral infarct, haemorrhage, anoxia, and degenerative diseases. Here, we report a unique case of status epilepticus presenting with SIRPIDs during funduscopic examination-induced focal to bilateral tonic-clonic seizures.