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Albini M, Morano A, Fattouch J, Fanella M, Avorio F, Basili LM, Cerulli Irelli E, Manfredi M, Giallonardo AT, Di Bonaventura C. Anxiety as the only manifestation of focal non-convulsive status epilepticus: case report and review of the literature. Neurocase 2020; 26:98-102. [PMID: 32228130 DOI: 10.1080/13554794.2020.1741647] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Psychiatric disorders represent common comorbidities in epileptic patients. Sometimes anxiety is part of the ictal semiology, especially during seizures arising from/involving frontal or temporal lobes. We describe a patient with focal epilepsy and recurrent hyperkinetic seizures who also presented prolonged episodes characterized by massive anxiety, alarm and fear. A Video-Electroencephalographic monitoring performed during one of these attacks revealed a continuous epileptiform activity over the right frontal regions, consistent with a focal non-convulsive status epilepticus accounting for the patient's psychiatric symptoms. Our case confirms the complex relationship between epilepsy and anxiety. A review of the literature is also included.
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Affiliation(s)
- Mariarita Albini
- Department of Human Neurosciences, Neurology Unit, 'Sapienza' University of Rome, Rome, Italy.,Neurophysiopathology Department, IRCCS Neuromed Institute, Pozzilli IS, Italy
| | - Alessandra Morano
- Department of Human Neurosciences, Neurology Unit, 'Sapienza' University of Rome, Rome, Italy
| | - Jinane Fattouch
- Department of Human Neurosciences, Neurology Unit, 'Sapienza' University of Rome, Rome, Italy
| | - Martina Fanella
- Department of Human Neurosciences, Neurology Unit, 'Sapienza' University of Rome, Rome, Italy
| | - Federica Avorio
- Department of Human Neurosciences, Neurology Unit, 'Sapienza' University of Rome, Rome, Italy
| | - Luca Manfredi Basili
- Department of Human Neurosciences, Neurology Unit, 'Sapienza' University of Rome, Rome, Italy
| | - Emanuele Cerulli Irelli
- Department of Human Neurosciences, Neurology Unit, 'Sapienza' University of Rome, Rome, Italy
| | - Mario Manfredi
- Department of Human Neurosciences, Neurology Unit, 'Sapienza' University of Rome, Rome, Italy
| | - Anna Teresa Giallonardo
- Department of Human Neurosciences, Neurology Unit, 'Sapienza' University of Rome, Rome, Italy
| | - Carlo Di Bonaventura
- Department of Human Neurosciences, Neurology Unit, 'Sapienza' University of Rome, Rome, Italy
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