Nonconvulsive status epilepticus is characterized by altered mental status without convulsive motor activity and symptoms lasting more than 10 minutes or recorded with electroencephalogram (EEG). This clinical presentation is expected to be seen mostly in chronic epilepsy patients and is recognized especially in critically ill patients, recently. Underlying metabolic anomalies, stroke and infections, may precipitate the nonconvulsive status epilepticus. It is demonstrated in 16% of the patients over 60 years old with altered mental status in the emergency department (ED) and the mortality rates increase by 50% among adults. Ischemic stroke has been shown to be associated with an increased risk of nonconvulsive status epilepticus. In ischemic stroke, not only cortical and great vessel infarcts but also lacunar infarcts have the possibility of developing nonconvulsive status epilepticus. In this case report, we aimed to present with literature information that especially frontal region infarcts may be a determining factor in the development of early status epilepticus after stroke.

Keywords: Frontal, infarct, nonconvulsive status epilepticus