Nonconvulsive status epilepticus resulting from Jarisch-Herxheimer reaction in a patient with neurosyphilis

Suleiman Kojan, Paul C. Van Ness, Ramon Diaz-Arrastia

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

We report a case of Jarisch-Herxheimer reaction-in a patient with neurosyphilis, which was complicated by nonconvulsive status epilepticus. The EEG features suggested a focal seizure onset, although the patient's MRI was normal. JHR is common in the treatment of neurosyphilis, but usually produces only transient systemic constitutional symptoms. Neurologic deterioration is rare, but can be dramatic, as in our patient. NCSE should be considered as an explanation for persistent obtundation and transient focal neurologic findings in this setting.

Original languageEnglish (US)
Pages (from-to)138-140
Number of pages3
JournalClinical EEG Electroencephalography
Volume31
Issue number3
StatePublished - Jul 2000

Fingerprint

Neurosyphilis
Status Epilepticus
Neurologic Manifestations
Nervous System
Electroencephalography
Seizures
Therapeutics

Keywords

  • Jarisch-Herxheimer Reaction
  • Neurosyphilis
  • Nonconvulsive Status Epilepticus

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Nonconvulsive status epilepticus resulting from Jarisch-Herxheimer reaction in a patient with neurosyphilis. / Kojan, Suleiman; Van Ness, Paul C.; Diaz-Arrastia, Ramon.

In: Clinical EEG Electroencephalography, Vol. 31, No. 3, 07.2000, p. 138-140.

Research output: Contribution to journalArticle

Kojan, Suleiman ; Van Ness, Paul C. ; Diaz-Arrastia, Ramon. / Nonconvulsive status epilepticus resulting from Jarisch-Herxheimer reaction in a patient with neurosyphilis. In: Clinical EEG Electroencephalography. 2000 ; Vol. 31, No. 3. pp. 138-140.
@article{d78fd242ee0a46578b912e19f760d10a,
title = "Nonconvulsive status epilepticus resulting from Jarisch-Herxheimer reaction in a patient with neurosyphilis",
abstract = "We report a case of Jarisch-Herxheimer reaction-in a patient with neurosyphilis, which was complicated by nonconvulsive status epilepticus. The EEG features suggested a focal seizure onset, although the patient's MRI was normal. JHR is common in the treatment of neurosyphilis, but usually produces only transient systemic constitutional symptoms. Neurologic deterioration is rare, but can be dramatic, as in our patient. NCSE should be considered as an explanation for persistent obtundation and transient focal neurologic findings in this setting.",
keywords = "Jarisch-Herxheimer Reaction, Neurosyphilis, Nonconvulsive Status Epilepticus",
author = "Suleiman Kojan and {Van Ness}, {Paul C.} and Ramon Diaz-Arrastia",
year = "2000",
month = "7",
language = "English (US)",
volume = "31",
pages = "138--140",
journal = "Clinical EEG and Neuroscience",
issn = "0009-9155",
publisher = "EEG and Clinical Neuroscience Society (ECNS)",
number = "3",

}

TY - JOUR

T1 - Nonconvulsive status epilepticus resulting from Jarisch-Herxheimer reaction in a patient with neurosyphilis

AU - Kojan, Suleiman

AU - Van Ness, Paul C.

AU - Diaz-Arrastia, Ramon

PY - 2000/7

Y1 - 2000/7

N2 - We report a case of Jarisch-Herxheimer reaction-in a patient with neurosyphilis, which was complicated by nonconvulsive status epilepticus. The EEG features suggested a focal seizure onset, although the patient's MRI was normal. JHR is common in the treatment of neurosyphilis, but usually produces only transient systemic constitutional symptoms. Neurologic deterioration is rare, but can be dramatic, as in our patient. NCSE should be considered as an explanation for persistent obtundation and transient focal neurologic findings in this setting.

AB - We report a case of Jarisch-Herxheimer reaction-in a patient with neurosyphilis, which was complicated by nonconvulsive status epilepticus. The EEG features suggested a focal seizure onset, although the patient's MRI was normal. JHR is common in the treatment of neurosyphilis, but usually produces only transient systemic constitutional symptoms. Neurologic deterioration is rare, but can be dramatic, as in our patient. NCSE should be considered as an explanation for persistent obtundation and transient focal neurologic findings in this setting.

KW - Jarisch-Herxheimer Reaction

KW - Neurosyphilis

KW - Nonconvulsive Status Epilepticus

UR - http://www.scopus.com/inward/record.url?scp=0033926922&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033926922&partnerID=8YFLogxK

M3 - Article

C2 - 10923200

AN - SCOPUS:0033926922

VL - 31

SP - 138

EP - 140

JO - Clinical EEG and Neuroscience

JF - Clinical EEG and Neuroscience

SN - 0009-9155

IS - 3

ER -