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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1996-12-9
pubmed:abstractText
A peculiar type of periodic lateralized epileptiform discharges (PLEDs) was recorded on 22 EEGs performed in 11 patients. They were characterized by bursts of sinusoid activity around 7-9 Hz, usually followed by a slow wave, lasting less than 500 ms, with a period less than 2 s, and these sequences could be continuous over several days. We propose to name this pattern 'periodic sinusoid paroxysmal activity' (PSPA). PSPA was recorded mainly over both parieto-temporo-occipital regions, although asymetrically. Sensory stimulations and anticonvulsants had no effect on PSPA. In three cases, mobilization of the head blocked PSPA. The spontaneous disappearance of PSPA was sometimes followed by classical PLEDs. PSPA was always associated with a confusional state and behavioural disturbances, and erratic distal clonic movements were seen in 6 cases. These symptoms disappeared as soon as PSPA ceased. Patients had either vascular risk factors or a previous cerebrovascular insult. The confusional state was associated with either lowered carotidian bloodflow or probable global cerebral hypoperfusion due to a systemic pathology. A vascular origin of PSPA is likely, due to the presence of vascular risk factors, to the morphology of PSPA and to the provoking and inhibiting factors.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0013-4694
pubmed:author
pubmed:issnType
Print
pubmed:volume
99
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
287-92
pubmed:dateRevised
2008-9-9
pubmed:meshHeading
pubmed:year
1996
pubmed:articleTitle
Special types of periodic lateralized epileptiform discharges associated with confusional state in cerebral circulation insufficiency.
pubmed:affiliation
Fondazione Mariani, Milano, Italy.
pubmed:publicationType
Journal Article