case_images: PMC11191625_01
case_images: Patients' 24-h video EEG monitoring results. (a) Case 1: EEG monitoring results showed triphasic waves after the onset of encephalopathic symptoms. (b) Case 2: EEG monitoring results after the onset of encephalopathic symptoms showed prominent slow waves, starting from delta Predominant, synchronous occurrence of both hemispheres without epileptiform activity. (c) Case 3: EEG monitoring results after the onset of encephalopathic symptoms showed prominent slow waves to theta Predominant, synchronous occurrence of both hemispheres without epileptiform activity. (d) Case 4: after the onset of encephalopathic symptoms, EEG monitoring results showed more background slow wave activity to theta wave predominance, the synchronous occurrence of both hemispheres, and no epileptiform activity.
case_images: 10.1177_2050313X241260152-fig1.jpg
case_images: PMC11191625_04_10.1177_2050313X241260152-fig1.jpg
case_images: fig1-2050313X241260152
case_images: The results showed no abnormality of liver and kidney function, blood ammonia: 18 mumol/L, sodium valproate 132 mug/ml; 24 h long range video EEG was more slow wave activity in the background, with delta and theta waves dominant (Figure 1(d)) immediately stop using sodium valproate, adjust the antiepileptic drugs to oral levetiracetam tablets 0.5 g, 2/day; lactulose oral solution, 15 m1, 1/day;
case_images: PMC11191625_02
case_images: Patients' 24-h video EEG monitoring results. (a) Case 1: EEG monitoring results showed triphasic waves after the onset of encephalopathic symptoms. (b) Case 2: EEG monitoring results after the onset of encephalopathic symptoms showed prominent slow waves, starting from delta Predominant, synchronous occurrence of both hemispheres without epileptiform activity. (c) Case 3: EEG monitoring results after the onset of encephalopathic symptoms showed prominent slow waves to theta Predominant, synchronous occurrence of both hemispheres without epileptiform activity. (d) Case 4: after the onset of encephalopathic symptoms, EEG monitoring results showed more background slow wave activity to theta wave predominance, the synchronous occurrence of both hemispheres, and no epileptiform activity.
case_images: 10.1177_2050313X241260152-fig1.jpg
case_images: PMC11191625_04_10.1177_2050313X241260152-fig1.jpg
case_images: fig1-2050313X241260152
case_images: The results showed no abnormality of liver and kidney function, blood ammonia: 18 mumol/L, sodium valproate 132 mug/ml; 24 h long range video EEG was more slow wave activity in the background, with delta and theta waves dominant (Figure 1(d)) immediately stop using sodium valproate, adjust the antiepileptic drugs to oral levetiracetam tablets 0.5 g, 2/day; lactulose oral solution, 15 m1, 1/day;
case_images: PMC11191625_03
case_images: Patients' 24-h video EEG monitoring results. (a) Case 1: EEG monitoring results showed triphasic waves after the onset of encephalopathic symptoms. (b) Case 2: EEG monitoring results after the onset of encephalopathic symptoms showed prominent slow waves, starting from delta Predominant, synchronous occurrence of both hemispheres without epileptiform activity. (c) Case 3: EEG monitoring results after the onset of encephalopathic symptoms showed prominent slow waves to theta Predominant, synchronous occurrence of both hemispheres without epileptiform activity. (d) Case 4: after the onset of encephalopathic symptoms, EEG monitoring results showed more background slow wave activity to theta wave predominance, the synchronous occurrence of both hemispheres, and no epileptiform activity.
case_images: 10.1177_2050313X241260152-fig1.jpg
case_images: PMC11191625_04_10.1177_2050313X241260152-fig1.jpg
case_images: fig1-2050313X241260152
case_images: The results showed no abnormality of liver and kidney function, blood ammonia: 18 mumol/L, sodium valproate 132 mug/ml; 24 h long range video EEG was more slow wave activity in the background, with delta and theta waves dominant (Figure 1(d)) immediately stop using sodium valproate, adjust the antiepileptic drugs to oral levetiracetam tablets 0.5 g, 2/day; lactulose oral solution, 15 m1, 1/day;
case_images: PMC11191625_04
case_images: Patients' 24-h video EEG monitoring results. (a) Case 1: EEG monitoring results showed triphasic waves after the onset of encephalopathic symptoms. (b) Case 2: EEG monitoring results after the onset of encephalopathic symptoms showed prominent slow waves, starting from delta Predominant, synchronous occurrence of both hemispheres without epileptiform activity. (c) Case 3: EEG monitoring results after the onset of encephalopathic symptoms showed prominent slow waves to theta Predominant, synchronous occurrence of both hemispheres without epileptiform activity. (d) Case 4: after the onset of encephalopathic symptoms, EEG monitoring results showed more background slow wave activity to theta wave predominance, the synchronous occurrence of both hemispheres, and no epileptiform activity.
case_images: 10.1177_2050313X241260152-fig1.jpg
case_images: PMC11191625_04_10.1177_2050313X241260152-fig1.jpg
case_images: fig1-2050313X241260152
case_images: The results showed no abnormality of liver and kidney function, blood ammonia: 18 mumol/L, sodium valproate 132 mug/ml; 24 h long range video EEG was more slow wave activity in the background, with delta and theta waves dominant (Figure 1(d)) immediately stop using sodium valproate, adjust the antiepileptic drugs to oral levetiracetam tablets 0.5 g, 2/day; lactulose oral solution, 15 m1, 1/day;