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Nonepileptic, Stereotypical, and Intermittent Symptoms After Subdural Hematoma Evacuation.

التفاصيل البيبلوغرافية
العنوان: Nonepileptic, Stereotypical, and Intermittent Symptoms After Subdural Hematoma Evacuation.
المؤلفون: Jain V; Neurology, University of Florida, Gainesville, USA., Remley W; Neurology, Lake Erie College of Osteopathic Medicine, Jacksonville, USA., Mohan A; Neurosurgery, University of Florida, Gainesville, USA., Leone EL; Neurology, University of Florida, Gainesville, USA., Taneja S; Neurology, Avalon University School of Medicine, Youngstown, USA., Busl K; Neurocritical Care, University of Florida, Gainesville, USA., Almeida L; Neurology, University of Florida, Gainesville, USA.
المصدر: Cureus [Cureus] 2021 Sep 28; Vol. 13 (9), pp. e18361. Date of Electronic Publication: 2021 Sep 28 (Print Publication: 2021).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Transient neurological deficits can occur in the setting of subdural hemorrhages with subsequent unremarkable electrodiagnostic and radiological evaluation. This scenario is rare and can be difficult for physicians to interpret. These transient neurological deficits are thought to result from relative ischemia, secondary to a lesser-known concept known as cortical spreading depolarization. These transient neurological deficits are thought to result from relative ischemia, secondary to a lesser-known concept known as cortical spreading depolarization, which may present clinically as nonepileptic, stereotypical, and intermittent symptoms (NESIS). In these instances, patients are often misdiagnosed as epileptics and committed to long-term antiseizure drugs. We present a 51-year-old patient developing acute global aphasia following the evacuation of a subdural hematoma, with no significant findings on laboratory, microbiological, electrodiagnostic, or radiological evaluation. The patient experienced spontaneous improvement and returned to baseline in the subsequent weeks. Increased awareness of NESIS as a cortical spreading depolarization phenomenon can improve patient care and prevent both unnecessary, extended medical evaluations and therapeutic trials.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2021, Jain et al.)
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فهرسة مساهمة: Keywords: cortical; depolarization; intermittent; nesis; nonepileptic; seizure; spreading; stereotypical; subdural
تواريخ الأحداث: Date Created: 20211102 Latest Revision: 20240403
رمز التحديث: 20240403
مُعرف محوري في PubMed: PMC8555749
DOI: 10.7759/cureus.18361
PMID: 34725611
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.18361