Persistent focal seizures after cat scratch encephalopathy

Pediatr Neurol. 2010 Mar;42(3):215-8. doi: 10.1016/j.pediatrneurol.2009.11.004.

Abstract

This report describes a 9-year-old child with status epilepticus and cat scratch disease. This patient's focal seizures and electroencephalographic changes persisted for 18 months after status epilepticus. This patient represents the third reported case of persistent focal seizures or electroencephalographic changes after status epilepticus secondary to cat scratch disease. This finding suggests that cat scratch encephalopathy may be a cause of localization-related epilepsy, and should be investigated when evaluating a patient with new-onset partial seizures.

Publication types

  • Case Reports

MeSH terms

  • Acyclovir / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Anticonvulsants / therapeutic use
  • Antiviral Agents / therapeutic use
  • Cat-Scratch Disease / complications*
  • Cat-Scratch Disease / drug therapy
  • Ceftriaxone / therapeutic use
  • Child
  • Drug Therapy, Combination
  • Electroencephalography
  • Epilepsy, Tonic-Clonic / diagnosis
  • Epilepsy, Tonic-Clonic / drug therapy*
  • Epilepsy, Tonic-Clonic / etiology
  • Humans
  • Lorazepam / therapeutic use
  • Male
  • Phenytoin / analogs & derivatives
  • Phenytoin / therapeutic use
  • Status Epilepticus / diagnosis
  • Status Epilepticus / drug therapy
  • Status Epilepticus / etiology*
  • Vancomycin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Anticonvulsants
  • Antiviral Agents
  • Phenytoin
  • Vancomycin
  • Ceftriaxone
  • fosphenytoin
  • Lorazepam
  • Acyclovir