References:
1. Lopez Arteaga T, Amo C, Serrano Gonzalez C, Huertas Sanchez D.
Nonconvulsive status epilepticus and psychotic symptoms: case report.
Riv Psichiatr. 2013;48(3):268-70.
2. Olivera Arencibia Y, Vo M, Kinaga J, Uribe J, Velasquez G, Madruga M,
et al. Fat Embolism and Nonconvulsive Status Epilepticus. Case Rep
Neurol Med. 2018;2018:5057624.
3. Walker MC. Treatment of nonconvulsive status epilepticus. Int Rev
Neurobiol. 2007;81:287-97.
4. Jo YM, Lee SW, Han SY, Baek YH, Ahn JH, Choi WJ, et al. Nonconvulsive
status epilepticus disguising as hepatic encephalopathy. World J
Gastroenterol. 2015;21(16):5105-9.
5. Towne AR, Waterhouse EJ, Boggs JG, Garnett LK, Brown AJ, Smith JR,
Jr., et al. Prevalence of nonconvulsive status epilepticus in comatose
patients. Neurology. 2000;54(2):340-5.
6. Meregildo Rodriguez ED, Chiroque MV, Rodriguez Llanos JR, Sanchez
Carrillo HC, Vilchez Rivera S, Delgado Sanchez MC. First case report of
tuberculous meningitis secondary to endometrial tuberculosis following a
clandestine abortion. Infez Med. 2020;28(1):82-6.
7. Abdulaziz ATA, Li J, Zhou D. The prevalence, characteristics and
outcome of seizure in tuberculous meningitis. Acta Epileptologica.
2020;2(1):1.
8. Brigo F, Ausserer H, Zuccoli G, Tezzon F, Nardone R. Seizure
heralding tuberculous meningitis. Epileptic disorders : international
epilepsy journal with videotape. 2012;14(3):329-33.
9. Misra UK, Kumar M, Kalita J. Seizures in tuberculous meningitis.
Epilepsy research. 2018;148:90-5.
10. Zuhaimy H, Leow SN, Vasudevan SK. Optic disc swelling in a patient
with tuberculous meningitis: a diagnostic challenge. BMJ Case Rep.
2017;2017:bcr2017221170.
11. Arman F, Kaya D, Akgün Y, Kocagöz S. Tuberculous meningitis
presenting with nonconvulsive status epilepticus. Epilepsy & behavior :
E&B. 2011;20(1):111-5.
12. Narayanan JT, Murthy JM. Nonconvulsive status epilepticus in a
neurological intensive care unit: profile in a developing country.
Epilepsia. 2007;48(5):900-6.
13. Oka Y, Tabu H, Matsumoto S. Tuberculous Meningitis Presenting with
Nonconvulsive Status Epilepticus and Transient Diffusion Restriction: A
Rare Case. Neurology India. 2020;68(2):512-4.
14. Khambati N, Hou M, Kelly D, Song R. Fatal tuberculous meningitis in
an infant presenting with seizures in the UK. BMJ Case Reports.
2021;14(8):e243573.
15. Gökçe C, Kiliç SS, Müngen B, Arisoy ES, Arisoy AE, Güvenç H, et al.
Comparison of children and adults with tuberculous meningitis in Elaziğ,
Turkey. Journal of tropical pediatrics. 1992;38(3):116-8.
16. Visudhiphan P, Chiemchanya S. Tuberculous meningitis in children:
treatment with isoniazid and rifampicin for twelve months. The Journal
of pediatrics. 1989;114(5):875-9.
17. Hosoglu S, Geyik MF, Balik I, Aygen B, Erol S, Aygencel TG, et al.
Predictors of outcome in patients with tuberculous meningitis. The
international journal of tuberculosis and lung disease : the official
journal of the International Union against Tuberculosis and Lung
Disease. 2002;6(1):64-70.
18. Paganini H, Gonzalez F, Santander C, Casimir L, Berberian G,
Rosanova MT. Tuberculous meningitis in children: clinical features and
outcome in 40 cases. Scandinavian journal of infectious diseases.
2000;32(1):41-5.
19. Brenner RP. EEG in convulsive and nonconvulsive status epilepticus.
Journal of clinical neurophysiology : official publication of the
American Electroencephalographic Society. 2004;21(5):319-31.
20. Kalita J, Misra UK. EEG changes in tuberculous meningitis: a
clinicoradiological correlation. Electroencephalography and clinical
neurophysiology. 1998;107(1):39-43.
21. Gupta RK, Jena A, Sharma A, Guha DK, Khushu S, Gupta AK. MR imaging
of intracranial tuberculomas. Journal of computer assisted tomography.
1988;12(2):280-5.
22. Salgado P, Del Brutto OH, Talamás O, Zenteno MA, Rodríguez-Carbajal
J. Intracranial tuberculoma: MR imaging. Neuroradiology.
1989;31(4):299-302.
23. Dastur HM. Diagnosis and neurosurgical treatment of tuberculous
disease of the CNS. Neurosurgical Review. 1983;6(3):111-7.
24. Chang KH, Han MH, Roh JK, Kim IO, Han MC, Choi KS, et al. Gd-DTPA
enhanced MR imaging in intracranial tuberculosis. Neuroradiology.
1990;32(1):19-25.
25. Rhoton EL, Ballinger WE, Jr., Quisling R, Sypert GW. Intramedullary
spinal tuberculoma. Neurosurgery. 1988;22(4):733-6.
26. Plum F. Cerebrospinal fluid in diseases of the nervous system By
Robert A. Fishman W. B. saunders company, Philadelphia, 1980 384 pp,
$32.00. Annals of Neurology. 1981;10(3):308-.
27. Kennedy DH, Fallon RJ. Tuberculous Meningitis. JAMA.
1979;241(3):264-8.
28. Proudfoot AT, Akhtar AJ, Douglas AC, Horne NW. Miliary tuberculosis
in adults. Br Med J. 1969;2(5652):273-6.
29. Carr J, Williams DG, Hayden RT. Chapter 24 - Molecular Detection of
Multiple Respiratory Viruses. In: Grody WW, Nakamura RM, Strom CM,
Kiechle FL, editors. Molecular Diagnostics. San Diego: Academic Press;
2010. p. 289-300.
Figure 1: EEG trace; transverse montage (7µv/mm, 30mm/s), Generalized
periodic discharges with 1-2 Hz frequency superimposed on slow
background.
Figure 2: EEG trace; transverse montage (7µv/mm, 30mm/s), after
administration of 10mg IV Diazepam, significant improvement with some
transient sharp waves at left hemisphere and normalization of
background.
Figure 3: EEG trace; transverse montage (7µv/mm, 30mm/s), after
antiepileptic treatment significant improvement in EEG trace is seen,
with normal alpha background and omission of periodic discharges. In
this trace C3 & F4 lead artifact is seen.
Figure 4: Brain MRI revealed multiple T1-weighted hyposignal (3-a) and
T2-weighted hypo/hypersignal (3-b, 3-c) lesions with ring-like
gadolinium enhancement at cerebellum and throughout the cerebellum (
3-d, 3-e, 3-f), predominantly at gray matter-white matter junction.