Department of Neurology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea.
Seizure. 2012 Oct;21(8):658-60. doi: 10.1016/j.seizure.2012.07.001. Epub 2012 Jul 23.
A 74-year-old woman with left hemiparesis due to a previous stroke presented with the sudden development of cognitive impairment and episodic complex visual hallucinations as manifestations of nonconvulsive status epilepticus (NCSE). Neuropsychological tests performed during NCSE demonstrated deficits encompassing several cognitive domains. The short-lasting complex visual hallucinations were stereotypical, vivid, and accompanied by intense fear. The seizure activity in the right temporo-parieto-occipital region, as documented by SISCOM and electroencephalogram (EEG) recording, was thought to be due to an unusual clinical presentation of NCSE. Subcortical cerebromalacia likely blocked the propagation route, restricting the ictal activities within this area.
一位 74 岁的女性，因先前的中风导致左侧偏瘫，出现认知障碍和间歇性复杂视觉幻觉，表现为非惊厥性癫痫持续状态（NCSE）。NCSE 期间进行的神经心理学测试显示，认知领域存在多种缺陷。短暂的复杂视觉幻觉具有刻板印象，生动，并伴有强烈的恐惧。右颞顶枕叶区域的癫痫活动，如 SISCOM 和脑电图（EEG）记录所示，被认为是由于 NCSE 的异常临床表现。皮质下脑软化可能阻断了传播途径，使癫痫活动局限在该区域内。
