The Dance of Doom : A Rare Case of Epilepsia Partialis Continua

Abstract

BACKGROUND: "Epilepsia Partialis Continua" is considered as the status epilepticus equivalent of simple partial motor seizures. First described by Kojewnikoff in 1894, this unique type of prolonged focal seizure continues to perplex neurologists for over a century now. Controversy looms large over the site of origin of this seizure. The unequivocal cortical origin of epilepsia partialis continua is substantiated by clinical, electrophysiologic and neurosurgical evidence. However, distant, or even subcortical sites of origin have been documented earlier. Despite our progressive knowledge about this disorder, to date, neither Antiepileptic drugs (AEDs) nor invasive/surgical treatment approaches have altered the course of this disease. We herein report a case of EPC who is admitted to our hospital. CASE REPORT: On the 31 st of July, Ms A, 20/female, educated upto XII Std, was brought to the hospital for h/o 4 episodes of seizures since morning. On examination, patient was drowsy, obeyed simple commands and largely responsive. She had persistent tachycardia