[A late-onset case of XXXX of @entity6191 ].

@entity1 @entity410 @entity3175 @entity1092 @entity302 @entity6191 @entity1296 @entity159
We report a 78-year-old @entity1 who had episodes of @entity159 ( @entity159 ) with @entity1296 . At 75 years of age, she had first @entity410 , but was not well examined. At 78 years of age, she had brief myoclonic jerks of her arms, soon after awakening, in May. She suffered from strong @entity1296 and was admitted in our hospital at the end of June. The symptoms regressed with bed rest in few days and she was discharged. However, she was admitted again with @entity1296 in the middle of July. There were no myoclonic jerks of her arms or legs and she could converse and interact normally, but was slightly disoriented (JCS: 2). Blood test, Cerebrospinal fluid analyses and brain MRI were normal. An EEG showed frequent intermittent generalized multiple spikes and slow wave complexes and a 3-4 Hz generalized spike and slow wave complexes every 2-4 seconds during whole 20 minutes record. Intravenous injection of 5 mg @entity3175 terminated status immediately. Thereafter, she was treated with @entity1092 (400 mg/day). Her symptoms improved, and interictal @entity302 discharges extremely decreased. Late-onset @entity159 of @entity6191 is rare. We discussed this case as an important case for diagnosis of @entity159 with subtle symptom of @entity1296 .
