A 13-year-old girl of normal intellect had clinically silent occipital elec
trographic status epilepticus that persisted for more than 3 years. Neurolo
gic examination and cranial magnetic resonance imaging were entirely normal
. [F-18]Fluorodeoxyglucose positron emission tomography demonstrated a hype
rmetabolic focus in the right occipital lobe. Electrographic status lasting
years can be seen in epilepsia partialis continua. However, the absence of
focal clinical seizures, nonprogressive course, and normal magnetic resona
nce imaging study seen in this patient are not features characteristic of e
pilepsia partialis continua.