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Epileptic seizures superimposed on catatonic stupor.
Epilepsia. 2006 Apr; 47(4):793-8.E

Abstract

PURPOSE

Some patients with nonconvulsive status epilepticus are known to exhibit catatonic stupor. Thus it is necessary to rule out ictal catatonia by electroencephalography in patients with catatonic stupor. However, few reports are available on epileptic seizures superimposed on catatonic stupor.

METHODS

We report three cases of epileptic seizures superimposed on psychiatric catatonic stupor without a prominent predisposing factor, including high fever or encephalitis. None of the patients had a personal or family history of neurologic disease, including epilepsy.

RESULTS

In all three patients, catatonic stupor persisted after resolution of the epileptic seizures with administration of phenytoin. In two of the three patients, catatonic stupor resolved with electroconvulsive therapy, which caused no marked adverse effects.

CONCLUSIONS

Because it is possible that catatonic stupor itself predisposes patients to the development of epileptic seizures, electroencephalographic examinations in patients with catatonic stupor are indispensable for early recognition not only of nonconvulsive status epilepticus but also of epileptic seizures superimposed on catatonic stupor. Electroconvulsive therapy deserves consideration when catatonic stupor persists after resolution of epileptic seizures.

Authors+Show Affiliations

Department of Psychiatry, Tohoku University Hospital, Sendai, Japan. kazumasa-tohoku@umin.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16650147

Citation

Suzuki, Kazumasa, et al. "Epileptic Seizures Superimposed On Catatonic Stupor." Epilepsia, vol. 47, no. 4, 2006, pp. 793-8.
Suzuki K, Miura N, Awata S, et al. Epileptic seizures superimposed on catatonic stupor. Epilepsia. 2006;47(4):793-8.
Suzuki, K., Miura, N., Awata, S., Ebina, Y., Takano, T., Honda, T., Shindo, T., & Matsuoka, H. (2006). Epileptic seizures superimposed on catatonic stupor. Epilepsia, 47(4), 793-8.
Suzuki K, et al. Epileptic Seizures Superimposed On Catatonic Stupor. Epilepsia. 2006;47(4):793-8. PubMed PMID: 16650147.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Epileptic seizures superimposed on catatonic stupor. AU - Suzuki,Kazumasa, AU - Miura,Nobuyoshi, AU - Awata,Shuichi, AU - Ebina,Yukio, AU - Takano,Takehisa, AU - Honda,Tomoko, AU - Shindo,Tsuyoshi, AU - Matsuoka,Hiroo, PY - 2006/5/3/pubmed PY - 2006/6/15/medline PY - 2006/5/3/entrez SP - 793 EP - 8 JF - Epilepsia JO - Epilepsia VL - 47 IS - 4 N2 - PURPOSE: Some patients with nonconvulsive status epilepticus are known to exhibit catatonic stupor. Thus it is necessary to rule out ictal catatonia by electroencephalography in patients with catatonic stupor. However, few reports are available on epileptic seizures superimposed on catatonic stupor. METHODS: We report three cases of epileptic seizures superimposed on psychiatric catatonic stupor without a prominent predisposing factor, including high fever or encephalitis. None of the patients had a personal or family history of neurologic disease, including epilepsy. RESULTS: In all three patients, catatonic stupor persisted after resolution of the epileptic seizures with administration of phenytoin. In two of the three patients, catatonic stupor resolved with electroconvulsive therapy, which caused no marked adverse effects. CONCLUSIONS: Because it is possible that catatonic stupor itself predisposes patients to the development of epileptic seizures, electroencephalographic examinations in patients with catatonic stupor are indispensable for early recognition not only of nonconvulsive status epilepticus but also of epileptic seizures superimposed on catatonic stupor. Electroconvulsive therapy deserves consideration when catatonic stupor persists after resolution of epileptic seizures. SN - 0013-9580 UR - https://www.unboundmedicine.com/medline/citation/16650147/Epileptic_seizures_superimposed_on_catatonic_stupor_ L2 - https://doi.org/10.1111/j.1528-1167.2006.00528.x DB - PRIME DP - Unbound Medicine ER -