Neurology Clinic, Clinical Center of Serbia, Belgrade, Serbia.
Epileptic Disord. 2012 Mar;14(1):80-4. doi: 10.1684/epd.2012.0492.
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].
后部皮层功能障碍的临床征象因其稀少和微妙，在非惊厥性癫痫持续状态的临床评估中，常常被忽视为非特异性。因此，起源于后部皮层，特别是顶叶的局灶性非惊厥性癫痫持续状态可能识别不足。我们报告了一例 66 岁患者，局灶性非惊厥性癫痫持续状态表现为孤立性 Bálint 样综合征，经治疗后临床和电生理完全恢复。讨论了其诊断和病理生理学特征。局灶性非惊厥性癫痫持续状态可伴有负性现象，如神经心理缺陷，类似于更常见于退行性和血管性脑疾病中检测到的现象。[附有视频序列]。
