E. Delgiudice et al., UNUSUAL SEIZURES WITH A BENIGN COURSE IN A CASE OF ACUTE LYMPHOBLASTIC-LEUKEMIA OF CHILDHOOD, Italian journal of neurological sciences, 14(5), 1993, pp. 385-389
We report the unusual seizures in a patient with acute lymphoblastic l
eukemia. The convulsive disorder began acutely as partial somatomotor
status epilepticus and with diffuse EEG slowing. The seizures then bec
ame myoclonic-atonic (drop attacks) and an EEG focus appeared on the l
eft paramedian centro-parietal areas, activated by proprioceptive stim
uli. Despite the severity of the clinical picture at onset, the seizur
es showed a benign course, and disappeared on carbamazepine therapy. W
e think that this epileptic syndrome may have been caused by diffuse i
atrogenic encephalopathy, probably related to intrathecal methotrexate
therapy.