A multimodal diagnostic approach for lateralised rhythmic delta activity in the ictal-interictal continuum (notice n° 611362)

détails MARC
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fixed length control field 02360cam a2200313 4500500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250121162516.0
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title fre
042 ## - AUTHENTICATION CODE
Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Spalletti, Maddalena
Relator term author
245 00 - TITLE STATEMENT
Title A multimodal diagnostic approach for lateralised rhythmic delta activity in the ictal-interictal continuum
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2020.<br/>
500 ## - GENERAL NOTE
General note 22
520 ## - SUMMARY, ETC.
Summary, etc. The ictal-interictal continuum represents a diagnostic challenge even for expert neurrophysiologists, often requiring an additional multimodal diagnostic workup to understand its clinical significance. Lateralised rhythmic delta activity (LRDA) is an ictal-interictal continuum pattern that has only recently been investigated and recognised as potentially ictogenic or sometimes even ictal.We describe a patient who presented with acute-onset aphasia, initially suspected of having a stroke; advanced brain imaging with CT-perfusion showed features suggesting regional left temporo-parietal hyperperfusion and an EEG revealed LRDA with fluctuations and intermixed sharp waves in the same areas. Treatment with lacosamide caused both clinical and EEG improvement after a few hours, supporting the hypothesis that the EEG pattern represented an ictal/interictal phenomenon.In the literature, a correlation between metabolic/perfusion imaging and ictal-interictal continuum patterns is described regarding lateralised periodic discharges but less studied for LRDA.In this case, we adopted a multimodal approach, integrating advanced imaging, EEG, clinical features, and response to therapy, to consider the overall clinical presentation as focal NCSE.
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element ictal-interictal continuum
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element stroke-mimics
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element perfusion imaging
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element lateralised rhythmic delta activity (LRDA)
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element non-convulsive status epilepticus
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Pescini, Francesca
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Gadda, Davide
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Piccardi, Benedetta
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Scarpino, Maenia
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Carrai, Riccardo
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Boccardi, Cristina
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Grippo, Antonello
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Amantini, Aldo
Relator term author
786 0# - DATA SOURCE ENTRY
Note Epileptic Disorders | Vol 22 | 3 | 2020-03-01 | p. 337-341 | 1294-9361
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/revue-epileptic-disorders-2020-3-page-337?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-epileptic-disorders-2020-3-page-337?lang=en&redirect-ssocas=7080</a>

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