Periodic Lateralized Epileptiform Discharges and Afterdischarges

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Periodic lateralized epileptiform discharges: association with seizures

The clinical features and EEGs of 45 consecutive patients (40 adults and 5 children) who had periodic lateralized epileptiform discharges (PLEDs) were reviewed to determine the relationship between seizures and PLEDs. Focal encephalitis and ischemic stroke were the most frequent underlying processes for adult patients. All of the children, but only six of the adults, had long-lasting cerebral d...

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Periodic lateralized epileptiform discharges as manifestation of pneumococcal meningoencephalitis

Periodic Lateralized Epileptiform Discharges (PLEDs) are usually seen in the context of destructive structural lesions of the cortex, more frequently in acute ischemic stroke and less common in tumours and meningoencephalitis, specially herpes simplex virus. Its origin and prognosis are uncertain but it is known that PLEDs are linked to epilectic seizures, including status epilepticus.We report...

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Periodic lateralized epileptiform discharges (PLEDs) in herpetic encephalitis.

An 86-year-old male presented with confusion, fever and tonicclonic seizures. CSF analysis showed lymphocytic pleocytosis and high protein count, leading to initiation of acyclovir. EEG revealed PLEDs in the left hemisphere (figure 1C) and MRI demonstrated left hippocampal and insular hyperintensities (figure 1A, 1B). Herpes simplex virus (HSV) encephalitis was confirmed by PCR. PLEDs represent...

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Similarity of lateralized rhythmic delta activity to periodic lateralized epileptiform discharges in critically ill patients.

IMPORTANCE The increasing use of continuous electroencephalography (EEG) monitoring in the intensive care unit has led to recognition of new EEG patterns that are of unclear or unknown significance. OBJECTIVE To describe an EEG pattern, lateralized rhythmic delta activity (LRDA), encountered in critically ill subjects and determine its clinical significance in this setting. DESIGN, SETTING, A...

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Periodic Lateralized Epileptiform Discharges can Survive Anesthesia and Result in Asymmetric Drug-induced Burst Suppression

Drug-induced burst suppression (DIBS) is bihemispheric and bisymmetric in adults and older children. However, asymmetric DIBS may occur if a pathological process is affecting one hemisphere only or both hemispheres disproportionately. The usual suspect is a destructive lesion; an irritative or epileptogenic lesion is usually not invoked to explain DIBS asymmetry. We report the case of a 66-year...

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ژورنال

عنوان ژورنال: Journal of Clinical Neurophysiology

سال: 2015

ISSN: 0736-0258

DOI: 10.1097/wnp.0000000000000173