Stimulus‐induced rhythmic, periodic ictal discharges during funduscopic examination in a patient with status epilepticus

Author:

Hong Wei‐Pin1,Chen Tsang‐Shan2,Huang Chin‐Wei3

Affiliation:

1. Department of Neurology, National Cheng Kung University Hospital, College of Medicine National Cheng Kung University Tainan

2. Department of Neurology, Tainan Hospital Ministry of Health and Welfare Tainan

3. Department of Neurology Tainan Sin‐Lau Hospital Tainan Taiwan

Abstract

ABSTRACTStimulus‐induced rhythmic, periodic, or ictal discharges (SIRPIDs), an unusual pattern in electroencephalography, have been described in critically‐ill encephalopathic patients in response to alerting stimuli. The phenomenon may be seen in patients with a broad range of aetiologies, including cerebral infarct, haemorrhage, anoxia, and degenerative diseases. Here, we report a unique case of status epilepticus presenting with SIRPIDs during funduscopic examination‐induced focal to bilateral tonic‐clonic seizures.

Publisher

Wiley

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