Epileptic Disorders
MENUBálint-like syndrome as an unusual representation of non-convulsive status epilepticus Volume 14, issue 1, March 2012
- Key words: Bálint-like syndrome, chronic epilepsy, nonconvulsive status epilepticus, parietal lobe, FDG-PET
- DOI : 10.1684/epd.2012.0492
- Page(s) : 80-4
- Published in: 2012
The clinical signs of posterior cortex dysfunction are, due to their paucity and subtlety, very often ignored as non-specific during clinical evaluation of non-convulsive status epilepticus. Therefore, focal non-convulsive status epilepticus emerging from the posterior cortex, and especially the parietal lobes, can be fairly under-recognised. We report a 66-year-old patient with focal non-convulsive status epilepticus presenting as isolated Bálint-like syndrome, successfully treated to full clinical and electrophysiological recovery. The diagnostic and pathophysiological features are discussed. Focal non-convulsive status epilepticus can be associated with negative phenomena such as neuropsychological deficits mimicking those detected more often in degenerative and vascular brain diseases. [Published with video sequences]