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- W3036564694 abstract "Abstract The ictal‐interictal continuum represents a diagnostic challenge even for expert neurrophysiologists, often requiring an additional multimodal diagnostic workup to understand its clinical significance. Lateralised rhythmic delta activity (LRDA) is an ictal‐interictal continuum pattern that has only recently been investigated and recognised as potentially ictogenic or sometimes even ictal. We describe a patient who presented with acute‐onset aphasia, initially suspected of having a stroke; advanced brain imaging with CT‐perfusion showed features suggesting regional left temporo‐parietal hyperperfusion and an EEG revealed LRDA with fluctuations and intermixed sharp waves in the same areas. Treatment with lacosamide caused both clinical and EEG improvement after a few hours, supporting the hypothesis that the EEG pattern represented an ictal/interictal phenomenon. In the literature, a correlation between metabolic/perfusion imaging and ictal‐interictal continuum patterns is described regarding lateralised periodic discharges but less studied for LRDA. In this case, we adopted a multimodal approach, integrating advanced imaging, EEG, clinical features, and response to therapy, to consider the overall clinical presentation as focal NCSE." @default.
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- W3036564694 date "2020-06-01" @default.
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- W3036564694 title "A multimodal diagnostic approach for lateralised rhythmic delta activity in the ictal‐interictal continuum∗" @default.
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- W3036564694 doi "https://doi.org/10.1684/epd.2020.1169" @default.
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