Stimulus-induced rhythmic, periodic ictal discharges during funduscopic examination in a patient with status epilepticus

Epileptic Disord. 2019 Oct 1;21(5):475-478. doi: 10.1684/epd.2019.1102.

Abstract

Stimulus-induced rhythmic, periodic, or ictal discharges (SIRPIDs), an unusual pattern in electroencephalography, have been described in critically-ill encephalopathic patients in response to alerting stimuli. The phenomenon may be seen in patients with a broad range of aetiologies, including cerebral infarct, haemorrhage, anoxia, and degenerative diseases. Here, we report a unique case of status epilepticus presenting with SIRPIDs during funduscopic examination-induced focal to bilateral tonic-clonic seizures.

Keywords: SIRPIDs; funduscopic examination; status epilepticus; stimulus-induced rhythmic periodic or ictal discharges.

Publication types

  • Case Reports

MeSH terms

  • Electroencephalography / methods
  • Humans
  • Male
  • Midazolam / therapeutic use*
  • Phenytoin / therapeutic use*
  • Seizures / diagnosis
  • Seizures / drug therapy
  • Status Epilepticus / diagnosis
  • Status Epilepticus / drug therapy*
  • Status Epilepticus / physiopathology*
  • Young Adult

Substances

  • Phenytoin
  • Midazolam