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NEUROLOGY 1986;36:1284
© 1986 American Academy of Neurology

Nonconvulsive generalized status epilepticus

Clinical features, neuropsychological testing, and long-term follow-up

A. Guberman, MD, G. Cantu-Reyna, MD, D. Stuss, PhD and R. Broughton, MD

Division of Neurology, Ottawa General Hospital, University of Ottawa, Ottawa, Ontario, Canada.

We studied 13 episodes of nonconvulsive generalized status epilepticus (NGS) in 10 adults. The syndrome may start in middle or late life and is often mistaken for psychiatric disorders. Some patients have shown good retention of language abilities, except for reduced fluency, despite impairment in other higher functions. In most patients, the syndrome recurs for several years despite anticonvulsant therapy. Transitional cases of NGS with lateralizing EEG features exist, and some cases are probably due to secondary generalization from a temporal or frontal focus.

Address correspondence and reprint requests to Dr. Guberman, Division of Neurology, Ottawa General Hospital, University of Ottawa, 501 Smyth Road, Ottawa, Ontario K1H 8L6, Canada.

Accepted for publication February 25, 1986.




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