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.