Lennox-Gastaut syndrome in the elderly?

The Lennox-Gastaut syndrome (LGS) is an electro-clinical syndrome of early childhood that consists of mental retardation, intractable generalized epilepsy with multiple seizure types, and typical EEG findings. We report a 64-year-old woman who was referred for presurgical evaluation with a diagnosis of intractable temporal lobe epilepsy since the age of 14 years, consisting of staring and unresponsiveness, sudden falls, and generalized convulsions. The average seizure frequency was 1-4 per month.

Mental status changes and stroke.

Objective: To determine the frequency with which an acute confusional state is caused by a stroke and to evaluate the usefulness of obtaining computed tomography scans in this setting.

Design: Retrospective analysis.

Setting: Tertiary referral center.

Mental status changes and stroke.

A retrospective analysis at a tertiary referred center was done to determine the frequency with which an acute confusional state is caused by a stroke and to evaluate the usefulness of performing computed tomography in this setting. We reviewed 127 neurology consultations requested for patients presenting with acute and apparently isolated mental status changes. The mean age was 62.