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Continuous spikes and waves during slow sleep (CSWS): outcome in adulthood
C Hommet1, C Billard, M A Barthez
1Service de Neurologie, Hôpital Bretonneau, Tours, France. chommet@aol.com
Abstract:
We report a longitudinal, electroencephalographic and neuropsychological analysis of epilepsy with continuous spikes and waves during slow sleep (CSWS) in a 19 year-old boy. The clinical course fluctuated, with temporary worsening or improvement of the paroxysmal abnormalities, epilepsy and cognitive functions. At the end of the follow-up period, seizures persisted. Evaluation of the boy's behaviour, language and cognitive function suggested a dysexecutive syndrome. We discuss the relationship between paroxysmal abnormalities and neuropsychological disorders.