Long-term outcome and prognosis of patients with emergent periodic lateralized epileptiform discharges (ePLEDs).
Seizure
; 21(6): 450-6, 2012 Jul.
Article
in En
| MEDLINE
| ID: mdl-22608974
ABSTRACT
PURPOSE:
Emergent EEG (eEEG) is an EEG performed on a non-elective basis upon request from a clinician for a seemingly emergency indication. Little is known about the long-term prognosis of patients with emergent periodic lateralized epileptiform discharges (ePLEDs).METHODS:
We analyzed the EEG and clinical records of patients with ePLEDs from January 2002 to December 2008.RESULTS:
Out of 1948 eEEGs, 79 (4%) patients had ePLEDs. Sixty-three patients had ePLEDs and 16 had eBiPLEDs (emergent bilateral periodic lateralized epileptiform discharges). The etiology of ePLEDs was CNS infection and inflammation (35.4%), stroke (32.9%), and metabolic encephalopathy (11.4%). Of the surviving 52 (65.8%) patients with ePLEDs, 34 (65.4%) had persistent seizures during a mean follow-up of 28 months (range 12-72 months). Seizure as the initial presentation was more commonly seen in children as compared to adults (64% versus 31%, p=0.005). CNS infection and inflammation were also seen more frequently in the pediatric age group (50% versus 27%, p=0.04). At follow-up, patients with eBiPLEDs had more seizures than patients with ePLEDs (87.5% versus 61.3%).CONCLUSION:
ePLEDs is associated with significant morbidity and mortality. However, the etiology of ePLEDs and brain dysfunction will influence the long-term outcome. This information is invaluable for prognostication and underscores the importance of rigorous management of patients with ePLEDs.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Seizures
/
Brain Diseases
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
Seizure
Journal subject:
NEUROLOGIA
Year:
2012
Document type:
Article
Affiliation country:
India