Dr Wells emphasizes another important aspect of nonconvulsive status epilepticus—the occurrence of transient psychotic states associated with electroencephalographic evidence of continuous epileptogenic activity.The clinical manifestations of nonconvulsive status are protean and have been described as "twilight states," "confusion," "crazy behavior," "stupor," "lethargy," "delirium," and "psychosis."1,2 All these clinical presentations of altered behavior have the common feature of sudden onset. Often there is a past history of seizures or other "spells."I agree with Dr Wells that only a constant awareness of these conditions and electroencephalographic recordings during these episodes will lead to the proper diagnosis of a nonconvulsive epileptic state.
Celesia GG. Nonconvulsive Status Epilepticus-Reply. JAMA. 1976;236(7):820. doi:10.1001/jama.1976.03270080012008
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