Publications

Refractory tonic-myoclonic status epilepticus with catamenial recurrence in epilepsy with myoclonic atonic seizures: A case report  (2024)

Authors:
Proietti, Jacopo; Fiorini, Elena; Cantalupo, Gaetano; Fontana, Elena; Lo Barco, Tommaso; Bonin, Cecilia; Bernardina, Bernardo Dalla; Darra, Francesca
Title:
Refractory tonic-myoclonic status epilepticus with catamenial recurrence in epilepsy with myoclonic atonic seizures: A case report
Year:
2024
Type of item:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Language:
Inglese
Referee:
No
Name of journal:
HELIYON
ISSN of journal:
2405-8440
N° Volume:
10
Number or Folder:
2
Page numbers:
1-6
Keyword:
Catamenial; Doose syndrome; Epilepsy with myoclonic-atonic seizures; Post-puberal age; Progestin; Status epilepticus
Short description of contents:
: In epilepsy with myoclonic-atonic seizures (EMA), status epilepticus (SE) may occur during the onset phase, uncommonly in post-puberal patients. We report a post-puberal patient with EMA who presented SE with insidious onset and catamenial recurrence. She had a stormy epilepsy onset at 4 years, with tonic seizures, atypical absences, and myoclonic-atonic seizures, in the absence of SE. After the onset phase, sporadic nocturnal tonic seizures persisted and a mild intellectual disability appeared. At the age of 7, after gonadotropin-releasing hormone analog administration due to central precocious puberty, she presented with SE characterized by recurrent atypical absences, tonic seizures, and awareness impairment, which was successfully treated in 4 days. At 11 years, one week before menstruation, the patient presented with analogous SE that lasted 8 days. One week before the subsequent menstruation, she presented again with SE, initially characterized by atypical absences alternating with phases of awareness and motor impairment related to fast low-voltage EEG activity in the central regions; later, tonic and myoclonic seizures occurring even in the awake state increased, and the "atonic-akinetic status" related to fast EEG activity worsened. After conventional antiepileptic drugs had failed to control the seizures, a progestin was added, with subsequent gradual complete recovery.
Product ID:
138008
Handle IRIS:
11562/1119928
Last Modified:
November 4, 2024
Bibliographic citation:
Proietti, Jacopo; Fiorini, Elena; Cantalupo, Gaetano; Fontana, Elena; Lo Barco, Tommaso; Bonin, Cecilia; Bernardina, Bernardo Dalla; Darra, Francesca, Refractory tonic-myoclonic status epilepticus with catamenial recurrence in epilepsy with myoclonic atonic seizures: A case report «HELIYON» , vol. 10 , n. 22024pp. 1-6

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo IRIS

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