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Clinical Cases and Reviews in Epilepsy

Atypical focal ESES/CSWSS: a clinical case

Clinical trial, 62 - 65
doi: 10.11138/ccre/2017.2.1.062
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Abstract
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We report an adolescent female showing the onset, at the age of 16, of tonic-clonic and focal motor seizures. The sleep EEGs disclosed continuous Spike Wave discharges occupying more than 85% of non REM sleep focalized over the left fronto-temporal regions and persisting for almost 2 years. The epileptic seizures were ultimately controlled by valproate and clobazam and the patient did not develop any cognitive impairment.
Moreover 1.5 T cerebral MRI and FDG PET were normal. We suggest that atypical cases of ESES with focal distribution, onset during adolescence and absence of cognitive impairment may be observed and need prompt recognition.

Vol. 2 (No. 1) 2017 Janaury - December

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