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Clinics and Practice
Volume 6
Issue 1
10.4081/cp.2016.840
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Simple Partial Status Epilepticus Manifested as Homonymous Hemianopsia: A Rare Intracranial Recording

by
Anna Siatouni
1,
Stylianos Gatzonis
1,
Andreas Alexopoulos
2,
Nikos Georgakoulias
1,
Mathildi Papathanassiou
3,
Stefanos Korfias
1,
Vaso Zisimopoulou
4,* and
Damianos Sakas
1
1
Epilepsy Surgery Unit, Department of Neurosurgery, University of Athens, School of Medicine, “Evangelismos” Hospital, Athens, Greece
2
Cleveland Clinic Epilepsy Center Neurological Institute, Cleveland, OH, USA
3
Second Radiology Laboratory, University of Athens, “Attikon” Hospital, Athens, Greece
4
Department of Neurology, “Evangelismos” Hospital, Athens, Greece
*
Author to whom correspondence should be addressed.
Clin. Pract. 2016, 6(1), 840; https://doi.org/10.4081/cp.2016.840
Submission received: 21 January 2016 / Revised: 18 February 2016 / Accepted: 19 February 2016 / Published: 31 March 2016

Abstract

A 30-year-old woman with intractable seizures evaluated as surgical candidate. During presurgical evaluation an invasive electroencephalogram was recommended to define the location and extent of epileptogenic zone and relationship to epileptogenic lesion. On third monitoring night the patient complained of persistent homonymous hemianopsia following a habitual seizure. Concurrently, persistent epileptic activity was evident in a small, restricted area around the right calcarine fissure. The ictal discharges persisted for the next 30 h despite high-dose administration of intravenous antiepileptic drugs, until patient was taken to operating room. Simple partial status epilepticus presenting with pure visual symptoms is rare and difficult to diagnose, even more so when presenting with negative visual phenomena. Epileptic etiology of unexplained, paroxysmal negative visual symptoms should be considered in the differential diagnosis in patients with pre-existing epilepsy, as well as patients with no prior history of epilepsy.
Keywords: electrocorticography; simple partial status epilepticus; homonymous hemianopia electrocorticography; simple partial status epilepticus; homonymous hemianopia

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MDPI and ACS Style

Siatouni, A.; Gatzonis, S.; Alexopoulos, A.; Georgakoulias, N.; Papathanassiou, M.; Korfias, S.; Zisimopoulou, V.; Sakas, D. Simple Partial Status Epilepticus Manifested as Homonymous Hemianopsia: A Rare Intracranial Recording. Clin. Pract. 2016, 6, 840. https://doi.org/10.4081/cp.2016.840

AMA Style

Siatouni A, Gatzonis S, Alexopoulos A, Georgakoulias N, Papathanassiou M, Korfias S, Zisimopoulou V, Sakas D. Simple Partial Status Epilepticus Manifested as Homonymous Hemianopsia: A Rare Intracranial Recording. Clinics and Practice. 2016; 6(1):840. https://doi.org/10.4081/cp.2016.840

Chicago/Turabian Style

Siatouni, Anna, Stylianos Gatzonis, Andreas Alexopoulos, Nikos Georgakoulias, Mathildi Papathanassiou, Stefanos Korfias, Vaso Zisimopoulou, and Damianos Sakas. 2016. "Simple Partial Status Epilepticus Manifested as Homonymous Hemianopsia: A Rare Intracranial Recording" Clinics and Practice 6, no. 1: 840. https://doi.org/10.4081/cp.2016.840

APA Style

Siatouni, A., Gatzonis, S., Alexopoulos, A., Georgakoulias, N., Papathanassiou, M., Korfias, S., Zisimopoulou, V., & Sakas, D. (2016). Simple Partial Status Epilepticus Manifested as Homonymous Hemianopsia: A Rare Intracranial Recording. Clinics and Practice, 6(1), 840. https://doi.org/10.4081/cp.2016.840

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