Functional and cognitive outcome in prolonged refractory status epilepticus.

Objective: To determine the functional and cognitive outcomes of patients with prolonged refractory status epilepticus (PRSE) lasting 7 or more days despite the use of anesthetic agents for seizure suppression.

Design: Retrospective analysis.

Setting: St Mary's Hospital, Mayo Clinic, Rochester, Minnesota.

Photophobia, visual hallucinations, and REM sleep behavior disorder in progressive supranuclear palsy and corticobasal degeneration: a prospective study.

Progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD) have overlapping clinical features that can make clinical distinction between these two entities difficult. The present study compared the frequency of photophobia, visual hallucinations, and REM sleep behavior disorder (RBD) in patients clinically diagnosed with PSP to those clinically suspected to have CBD. Photophobia occurred in all 10 (100%) PSP patients vs 2 (18%) patients with clinically suspected CBD (p=0.

Mumps encephalitis: return with a vengeance.

The incidence of mumps cases has declined dramatically since the introduction of the measles, mumps, rubella vaccine. A recent outbreak, however, brings to attention the importance of recognizing the clinical symptoms and signs of mumps, because early isolation of patients may prevent spread of the disease. The authors present the case of a 50-year-old man with severe encephalitis found to be caused by the mumps virus.