Symptomatic complex partial status epilepticus manifesting as utilization behavior of a mobile phone

Epilepsy & Behavior : E&B
Antonio CarotaAndrea O Rossetti

Abstract

Utilization behavior (UB) consists of reaching out and using objects in the environment in an automatic manner and out of context. This behavior has been correlated to frontal lobe dysfunction, especially of the right hemisphere. We describe a 60-year-old woman, affected by a glioblastoma located in the right frontal region, who presented with intermittent UB of the mobile phone as the main clinical manifestation of partial complex status epilepticus. Video/EEG studies showed a striking correlation between mobile phone utilization and ictal epileptic activity. Clinical and EEG findings were markedly reduced after the introduction of antiepileptic drugs. This case study suggests that UB may be added to the symptoms described for partial seizures originating from frontal areas.

References

Jun 1, 1983·Brain : a Journal of Neurology·F Lhermitte
Jan 30, 1999·Epilepsia·D H LowensteinR L Macdonald
Mar 23, 2004·Pediatric Neurology·D Barry SinclairThomas Snyder
Jan 24, 2007·Epilepsia·Elena GardellaCarlo Alberto Tassinari
Jan 26, 2008·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·R C LeiguardaM Merello

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Citations

Jan 22, 2011·Harvard Review of Psychiatry·Lior GivonPieter A Cohen
Aug 6, 2013·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Meredith SpindlerEdward K Avila
May 28, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Emanuele Cerulli IrelliCarlo Di Bonaventura

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