Detailed contribution information
| Contribution title | 3164 - Electrical status epilepticus in sleep (ESES) syndrome diagnosed girl in 5 year follow up: a case report |
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| Contribution code | PS02-43 (P) |
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| Form of presentation | Poster |
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| Abstract |
Introduction: Electrical status epilepticus in sleep (ESES)/continuous spikes and waves during slow sleep (CSWS) is an age related, self-limited disorder characterized by heterogeneous clinical manifestations and a specific electroencephalographic (EEG) pattern of CSWS. At the time of the appearance of CSWS, one or more neuropsychiatric disorders is present in 96% of the patients, such as behavioral problems, mental retardation in ,learning disabilities, developmental coordination disorder, language disorder, and pervasive developmental disorder. Objective: Discussing clinical features of ESES, interpreting possible benefits of early diagnosis and outcomes of intervention through a case report Case: We report the case who referred to out outpatient clinic with inattention, hyperactivity, behavioral problems, poor peer relationships and learning problems at the age of 6. She was diagnosed with attention deficit and hyperactivity disorder (ADHD), specific learning disorder, conduct disorder and was medicated with methylphenidate. During follow-ups, there was partial treatment response. There was no pathological findings in wake EEG and cranial magnetic resonance imaging and neurological assessment. Also clinical seizures were not detected. After follow up for 4 years another EEG was performed both wake and sleep. She was diagnosed with ESES and treated with antiepileptic drugs and corticosteroids. Her medical treatment was continued in multidisciplinary approach between neurology and child psychiatry. Her symptoms disappeared partially after regression in EEG pattern although her signs of poor peer relation, learning problems, and hyperactivity still caused impairment. Conclusion: ESES is a rare clinical condition with comorbid learning disabilities, ADHD and conduct disorder which shows the need for multidisciplinary approaches and must be taken into consideration especially for treatment resistant severe cases in child psychiatry practice. |