Aphasia as the Sole Manifestation of Simple Partial Status Epilepticus

Wells, Christine; Labar, Douglas; Solomon, Gail E.

doi:10.1111/j.1528-1157.1992.tb02286.x

Cited by 60 publications

(25 citation statements)

References 12 publications

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“…The long duration of the dysphasia, approximately a few weeks, was compatible with status epilepticus, and PLEDshave been recognized to represent status epilepticus on electroencephalograph (6). Epileptic dysphasia is a rare clinical condition (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19), and the present case is noteworthy because of the prolonged dysphasia with persistent PLEDswhich persisted throughout the recording time. Although Wells CR (19) reported a case of epileptic dysphasia and PLEDsappeared transiently in that case, noneof the previous cases of epileptic dysphasia were accompanied by persistent PLEDsas the present case.…”

Section: Discussionmentioning

confidence: 89%

Dysphasia Accompanied by Periodic Lateralized Epileptiform Discharges.

et al. 1997

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Weencountered a 67-year-old man who presented with repetitious dysphasia accompanied by periodic lateralized epileptiform discharges (PLEDs) on the electroencephalogram.A good correlation was established between the dysphasia and the PLEDs.A persistent partial seizure accompanied by PLEDs originating in the left hemisphere presented with dysphasia clinically. None of the previously reported patients with epileptic dysphasia had accompanying PLEDs. The administration of carbamazepinewas successful to terminate the seizure, howevervalproate was not. This case indicates that PLEDsmay produce significant, however reversible, functional damage, and may advance our understanding of the pathophysiology of epileptic dysphasia. (Internal Medicine 36: 59-61, 1997)

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Section: Discussionmentioning

confidence: 89%

Dysphasia Accompanied by Periodic Lateralized Epileptiform Discharges.

et al. 1997

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“…The language deficit consisted of a nonfluent Broca's-type aphasia (2,6,7,10,14) in most cases, but fluent Wernicke's aphasia (8,10,13) and mixed type (9,11, 12) have been described. Not all cases showed a clear response to treatment with AEDs, which would have given more weight to or facilitated the diagnosis of a seizure disorder (2,7,9,14). Only two other reported cases had concomitant video monitoring (1 1,14) to record the language deficit during the seizure.…”

Section: Discussionmentioning

confidence: 99%

“…Cases of prolonged isolated aphasic status epilepticus in patients without previous seizures or known cerebral lesions are rare. There has been only one reported case of new-onset seizures seen as aphasic status, confirmed by EEG, and showing rapid resolution of the aphasia with antiepileptic drug (AED) treatment (2). In that case, the patient was known to have an underlying brain tumor.…”

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confidence: 99%

De Novo Aphasic Status Epilepticus

Grimes¹,

Guberman²

1997

Epilepsia

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Summary:The literature contains only a handful of reports of patients with aphasia as the principal or only obvious manifestation of partial status epilepticus. Even fewer patients of this type have been well documented both clinically and by ictal EEG monitoring. We studied an otherwise healthy woman with abrupt onset of aphasia initially thought to be the result of an infarct of the left temporoparietal area. We were able to document partial status epilepticus involving the left temporoparieta1 area with EEGhideo monitoring and showed rapid reversal of the aphasic disorder with antiepileptic drug (AED) treatment. The case is presented with a review of previous reports to underscore the importance of considering this diagnosis in patients with abrupt onset of aphasia.

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“…In relation to epilepsy, aphasia can be either a manifestation of an ictal as in partial complex seizures or a post-ictal phenomenon (todd phenomenon) [3,[9][10][11]. As an ictal phenomenon (during which the patient is alert but dysphasic) there is usually a correlation between the clinical seizure and simultaneous EEG changes, denoting corresponding electrical ictal activity that would cease once the clinical fit was over [9,10].…”

Section: Discussionmentioning

confidence: 99%

Recurrent Seizures and Prolonged Post-Ictal Aphasia in a Patient with Multiple Sclerosis

Al-Shubaili

Farah

Khuraibet³

et al. 1998

Med Princ Pract

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Objective: To evaluate the duration and underlying pathology of post-ictal aphasia in a patient with multiple sclerosis. Clinical Presentation: A 36-year-old female patient with chronic multiple sclerosis developed recurrent seizures followed by prolonged stereotyped post-ictal aphasia that lasted for 4–6 days. There was no response to a therapeutic trial of steroids. Investigations: A brain MRI did not reveal new demyelinative plaques. EEG showed persistent abnormalities from the left temporal lobe, which had no temporal relationship to the aphasic episodes. Conclusion: We believe that these aphasic episodes represent a post-ictal phenomenon of unusually long duration that has not been reported before.

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Aphasia as the Sole Manifestation of Simple Partial Status Epilepticus

Cited by 60 publications

References 12 publications

Dysphasia Accompanied by Periodic Lateralized Epileptiform Discharges.

Dysphasia Accompanied by Periodic Lateralized Epileptiform Discharges.

De Novo Aphasic Status Epilepticus

Recurrent Seizures and Prolonged Post-Ictal Aphasia in a Patient with Multiple Sclerosis

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