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Ictal Confusion in Later Life

Soo Ik Lee, MD

Arch Neurol. 1985;42(8):778-781.

Abstract
• In 11 patients without histories of absence seizures, acute prolonged confusion and/or prominent psychiatric manifestations occurred between the ages of 42 and 76 years, and were accompanied by 1 to 2.5-Hz generalized spike-wave or multiple spike-wave discharges in the EEGs. The patients were successfully treated with intravenously administered diazepam followed by orally administered phenytoin sodium and/or phenobarbital. The ictal confusion in later life seems to be an entity distinct from the typical petit mal status of early onset.

Author Affiliations
From the Department of Neurology, University of Virginia School of Medicine, Charlottesville.

Footnotes
Accepted for publication Aug 14, 1984.

Presented in part before the Annual Meeting of the American Epilepsy Society, Dec 3, 1981.

Reprint requests to the Department of Neurology, University of Virginia School of Medicine, Charlottesville, VA 22908 (Dr Lee).

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