Manifestazioni motorie epilettiche continue nell'evoluzione di quadri di stato di male

SCEE are reported in literature as a possible clinical presentation of SE. We have recorded (polygraphic and/or video EEG) SCEE during the recovery phase of SE in 6 adult patients. This latter was generalized convulsive in all but one in which it was simple partial motor with discrete seizures. Two patients was epileptic before SE. The SCEE were mild nearly continuous myoclonias, atonias, nystagmus and eye blinking; duration was 2-72 hours before remission. Three patients were comatose during this period. All the patients were treated with benzodiazepines and phenytoin before the SCEE. All the pts presents PLEDs (5 pts) or BIPLEDs in EEG recordings which appeared concomitantly with clinical manifestation. Both clinical and EEG events disappeared gradually but independently. No definite effect of additional treatment with benzodiazepine was observed. In all the patients the maintenance scheme of therapy was used during remission of clinical and EEG pattern. All the patients but one survived and apparently recovered according to the etiology of SE.