John Libbey Eurotext

Video-EEG illustration of transient episodes of loss of consciousness correlating with plateau-waves due to intracranial hypertension Volume 22, numéro 4, August 2020


  • Figure 1
1 APHM, Timone Hospital, Epileptology Department, Marseille, France
2 APHM, La Conception Hospital, Clinical Haematology Department, Marseille, France
3 Aix Marseille Univ, APHM, INSERM, INS, Inst Neurosci Syst, Timone Hospital, Epileptology Department, Marseille, France
* Correspondence: Stanislas Lagarde Hôpital La Timone, Service d’épileptologie et de rythmologie cérébrale, 264, rue Saint-Pierre, 13005 Marseille, France

A 54-year-old woman, with relapsing mantle B-cell lymphoma, was admitted due to recurrent unresponsive episodes. During video-EEG recording, the patient became transiently unresponsive for 12 minutes with starring and brachiofacial automatisms (see video sequence), with correlating diffuse EEG delta activity that resolved spontaneously, without epileptic discharge, cardiac arrhythmia, or hypotension (figure 1). No intracranial lesion was identified on neuroimaging. Lumbar puncture revealed increased [...]