Tonic status and electrodecremental paroxysms in an adult without epilepsy

Electrodecremental status epilepticus is classically described in infants and children with severe refractory epilepsy, mental retardation, and structural brain abnormalities. We describe a 24-year-old woman who presented to the emergency department with prolonged tonic status epilepticus which evolved into stimulus-induced diffuse voltage attenuation (SIDVA) pattern in the setting of aseptic meningoencephalitis. There was no history of seizures or further events after recovery. This is the first report of a SIDVA pattern in an adult without a history of epilepsy.