[Two cases whose epileptic attacks disappeared at the time of infection]

No To Hattatsu. 1993 May;25(3):271-6.
[Article in Japanese]

Abstract

Two cases with secondary generalized epilepsy whose epileptic attacks disappeared abruptly were reported. Permanent improvement was observed in case 1 with residual state of West syndrome, aged 4 years, after viral pneumonia, both epileptic attacks and epileptic discharges on EEG disappeared more than 3 years. Transient improvement was observed in case 2 with Lennox-Gastaut syndrome, aged 6 years, after an episode with insomnia, poor appetite and confusion for three days. After this episode epileptic attacks disappeared for 9 months and epileptic discharges on EEG were also markedly decreased. However, epileptic attacks relapsed following the reduction of phenytoin after 9 months. An effect resembling ketogenic diet therapy and a change of pharmacokinetics of antiepileptic drugs may be involved in the transient improvement of case 2. However, any effects involving an immunological effect and secretions of adreno-cortico-hormone following after stress may be not involved in the permanent improvement of case 1.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Anticonvulsants / administration & dosage
  • Anticonvulsants / pharmacokinetics
  • Child
  • Child, Preschool
  • Electroencephalography*
  • Epilepsy, Generalized / physiopathology*
  • Humans
  • Male
  • Pneumonia, Viral / physiopathology*
  • Recurrence
  • Remission, Spontaneous

Substances

  • Anticonvulsants