JLE

Epileptic Disorders

MENU

Head turning as a prominent motor symptom in status epilepticus Volume 10, numéro 2, June 2008

Figure 1 Patient 1, FM, female, 62 years. tc 1.0, HF 70 Hz. EEG was recorded during continuous ictal head version to the right. Patient was unresponsive at this time. Ongoing ictal fast activities over left frontal region were accompanied by slow waves, intermittently forming 3/sec spikes and waves. Spread of 3/sec spikes and waves to the homologous, contra-lateral region. No basic rhythm over the posterior regions.

Figure 2 Patient 1, FM, female, 62 years. tc 1.0, HF 70 Hz. Identical record as for figure 1. After termination of SE. The end of iv injection of 10 mg diazepam is marked by “Ende”. At the same time, frontal spikes and head version stopped. Some 7/sec activities of μ-like shape over T5.

Figure 3 Patient 2, SS, female, 25 years. tc 0.3, HF 30 Hz. EEG recorded after a generalized tonic-clonic seizure followed by aphasia, continuous head and eye version to the right and eye lid fluttering. Over F3, rhythmic slow waves and small spikes.

Figure 4 Patient 3, LAM, female, 74 years. tc 0.3, HF 35 Hz. EEG recorded while the patient was non-reactive and showed continuous head deviation to the left with rhythmic nystagmus. Continuous sharp and slow waves located over right posterior region.

Figure 5 Patient 4, LH, female, 67 years. tc 0.3, HF 35 Hz. EEG recorded during unresponsiveness and forced head and eye version to the left. Rhythmic 2/sec sharp and slow waves over right posterior region.

Figure 6 Patient 4, LH, female, 67 years. tc 0.3, HF 35 Hz. Identical record as for figure 5 after 10 mg diazepam iv. Marked attenuation of sharp waves and slow activities over the right hemisphere. Cessation of clinical seizure symptoms.

Figure 7 Patient 6, SB, female, 10 years. tc 0.3, HF 30 Hz. EEG during dyscognitive status epilepticus accompanied by forced head version to the left. Diffuse slow activities with rhythmic appearance and intermittent ictal fast activities over the right hemisphere.

Figure 8 Patient 8, WD, female, 12 years. tc 0.6, HF 30 HZ. Reduced paper speed 1.5cm/s. Ictal 3/sec spikes and waves for 17 seconds, accompanied by adversive absence seizures with head and eye deviation to the right. The versive movements are marked as “Blick n. re oben…”. These seizures occurred every 10 to 20 seconds, merging into an enduring epileptic condition.