Catatonia ictal en el Servicio de Urgencia: una rara forma de presentación del estado epiléptico no convulsivo

The differential diagnosis of non-convulsive status epilepticus (NCSE) is often complex due to a wide clinical variability of its presentation, including psychiatric manifestations. We report a 68 years old male with a history of depression treated with venlafaxine, mirtazapine, quetiapine and rispe...

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Autores principales:	Gaete,Germán, Velásquez,Álvaro
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2017
Materias:	Catatonia Electroencephalography Emergency Nursing Status Epilepticus
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000100017
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spelling	oai:scielo:S0034-988720170001000172017-05-15Catatonia ictal en el Servicio de Urgencia: una rara forma de presentación del estado epiléptico no convulsivoGaete,GermánVelásquez,Álvaro Catatonia Electroencephalography Emergency Nursing Status Epilepticus The differential diagnosis of non-convulsive status epilepticus (NCSE) is often complex due to a wide clinical variability of its presentation, including psychiatric manifestations. We report a 68 years old male with a history of depression treated with venlafaxine, mirtazapine, quetiapine and risperidone, presenting in the emergency room with confusion and generalized rigidity. A brain CT scan did not show lesions. A neuroleptic syndrome was initially suspected. At the third day the obtundation worsened and an electroencephalogram (EEG) was performed, which showed epileptiform abnormalities. Treatment with valproic acid resulted in disappearance of such abnormalities. After three weeks of mechanical ventilation, the patient was extubated and remained lucid and partially orientated in time and space.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.145 n.1 20172017-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000100017es10.4067/S0034-98872017000100017
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Catatonia Electroencephalography Emergency Nursing Status Epilepticus
spellingShingle	Catatonia Electroencephalography Emergency Nursing Status Epilepticus Gaete,Germán Velásquez,Álvaro Catatonia ictal en el Servicio de Urgencia: una rara forma de presentación del estado epiléptico no convulsivo
description	The differential diagnosis of non-convulsive status epilepticus (NCSE) is often complex due to a wide clinical variability of its presentation, including psychiatric manifestations. We report a 68 years old male with a history of depression treated with venlafaxine, mirtazapine, quetiapine and risperidone, presenting in the emergency room with confusion and generalized rigidity. A brain CT scan did not show lesions. A neuroleptic syndrome was initially suspected. At the third day the obtundation worsened and an electroencephalogram (EEG) was performed, which showed epileptiform abnormalities. Treatment with valproic acid resulted in disappearance of such abnormalities. After three weeks of mechanical ventilation, the patient was extubated and remained lucid and partially orientated in time and space.
author	Gaete,Germán Velásquez,Álvaro
author_facet	Gaete,Germán Velásquez,Álvaro
author_sort	Gaete,Germán
title	Catatonia ictal en el Servicio de Urgencia: una rara forma de presentación del estado epiléptico no convulsivo
title_short	Catatonia ictal en el Servicio de Urgencia: una rara forma de presentación del estado epiléptico no convulsivo
title_full	Catatonia ictal en el Servicio de Urgencia: una rara forma de presentación del estado epiléptico no convulsivo
title_fullStr	Catatonia ictal en el Servicio de Urgencia: una rara forma de presentación del estado epiléptico no convulsivo
title_full_unstemmed	Catatonia ictal en el Servicio de Urgencia: una rara forma de presentación del estado epiléptico no convulsivo
title_sort	catatonia ictal en el servicio de urgencia: una rara forma de presentación del estado epiléptico no convulsivo
publisher	Sociedad Médica de Santiago
publishDate	2017
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000100017
work_keys_str_mv	AT gaetegerman catatoniaictalenelserviciodeurgenciaunararaformadepresentaciondelestadoepilepticonoconvulsivo AT velasquezalvaro catatoniaictalenelserviciodeurgenciaunararaformadepresentaciondelestadoepilepticonoconvulsivo
_version_	1718436926670766080

Catatonia ictal en el Servicio de Urgencia: una rara forma de presentación del estado epiléptico no convulsivo

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