Confusion and SIRPIDs regress with parenteral lorazepam

Peter W. Kaplan; Josh Duckworth

doi:10.1684/epd.2011.0463

Confusion and SIRPIDs regress with parenteral lorazepam

Peter W. Kaplan, Josh Duckworth

School of Medicine

Research output: Contribution to journal › Review article › peer-review

17 Scopus citations

Abstract

Stimulus-induced rhythmic, periodic or ictal discharges (SIRPIDs) are EEG epileptiform periodic discharges (PD) induced by arousal. SIRPIDs lie along an ictal-interictal continuum with debate regarding urgency of treatment. In a patient with SIRPIDs, aphasia and confusion, i.v. lorazepam during EEG resulted in improved level of consciousness, return of verbal interaction and regression of SIRPIDs. This suggests that some forms of SIRPIDs may be associated with an ictal confusional state.

Original language	English (US)
Pages (from-to)	291-294
Number of pages	4
Journal	Epileptic Disorders
Volume	13
Issue number	3
DOIs	https://doi.org/10.1684/epd.2011.0463
State	Published - Sep 2011

Keywords

Confusion
Periodic discharges
SIRPIDs
Status epilepticus
Treatment

ASJC Scopus subject areas

Neurology
Clinical Neurology

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10.1684/epd.2011.0463

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title = "Confusion and SIRPIDs regress with parenteral lorazepam",

abstract = "Stimulus-induced rhythmic, periodic or ictal discharges (SIRPIDs) are EEG epileptiform periodic discharges (PD) induced by arousal. SIRPIDs lie along an ictal-interictal continuum with debate regarding urgency of treatment. In a patient with SIRPIDs, aphasia and confusion, i.v. lorazepam during EEG resulted in improved level of consciousness, return of verbal interaction and regression of SIRPIDs. This suggests that some forms of SIRPIDs may be associated with an ictal confusional state.",

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AB - Stimulus-induced rhythmic, periodic or ictal discharges (SIRPIDs) are EEG epileptiform periodic discharges (PD) induced by arousal. SIRPIDs lie along an ictal-interictal continuum with debate regarding urgency of treatment. In a patient with SIRPIDs, aphasia and confusion, i.v. lorazepam during EEG resulted in improved level of consciousness, return of verbal interaction and regression of SIRPIDs. This suggests that some forms of SIRPIDs may be associated with an ictal confusional state.

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KW - SIRPIDs

KW - Status epilepticus

KW - Treatment

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Confusion and SIRPIDs regress with parenteral lorazepam

Abstract

Keywords

ASJC Scopus subject areas

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