Aphasic Status Epilepticus

Primavera, A.; Bo, Gian-Paolo; Venturi, Simonetta

doi:10.1159/000116279

Cited by 22 publications

(10 citation statements)

References 8 publications

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“…antiepileptic drug (AED). In previous reports, aphasic status epilepticus was considered to be a manifestation of complex partial status epilepticus (DePasquet et al, 1976;Hamilton and Matthews, 1979;Racy et al, 1980;Dinner et al, 1981;Knight and Cooper, 1986;Rosenbaum et al, 1986;Primavera et al, 1988). In contrast, our case represents simple partial status epilepticus rather than complex partial status epilepticus since there was no alteration in consciousness (Commission, 1981).…”

Section: Discussionmentioning

confidence: 57%

Aphasia as the Sole Manifestation of Simple Partial Status Epilepticus

1992

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Aphasia due to simple partial status epilepticus is rare, particularly in the absence of a seizure history. No previous report describes acute aphasia as the sole clinical manifestation of EEG-monitored status epilepticus, with prompt resolution with treatment. We report a 45-year-old man with a left temporal glioblastoma who acutely developed a global aphasia, during which an EEG revealed continual repetitive sharp waves emanating from the left hemisphere. After injection of i.v. diazepam, the EEG seizure activity ceased, and the patient's language output returned to preseizure levels.

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Section: Discussionmentioning

confidence: 57%

Aphasia as the Sole Manifestation of Simple Partial Status Epilepticus

1992

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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: 57%

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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“…Although, overall, inhibitory seizures are considered to be infrequent, when reviewing the literature, a rather considerable number of IS cases can be found which deal with epileptic aphasia [26,27,28,29,30,31,32,33]. This indirectly confirms that, from a clinical point of view, sudden temporary speech disturbances should evoke a differential diagnosis between an IS and a TIA.…”

Section: Discussionmentioning

confidence: 68%

Transient Ischemic Attacks and Inhibitory Seizures in Elderly Patients

Reuck

Maele

2009

Eur Neurol

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Background: The new definition of a transient ischemic attack (TIA) makes it more difficult to distinguish it from an inhibitory seizure (IS). Purpose: The present study compares the characteristics of patients with an IS to those with a TIA, taking into account the old and the new definition of a TIA. Patients and Methods: The clinical characteristics and the electroencephalogram (EEG) findings of 25 patients with an IS were compared to 252 patients with a TIA according to the old definition. Subgroups of 10 patients with an IS without structural lesions and 195 TIA patients according to the new definition were also analyzed. The differential diagnostic clues were examined. Results: Differences in age, gender distribution and vascular risk factors were observed only when comparing the overall patient groups. However, these differences disappeared when the subgroups were analyzed. Temporary speech disturbance, associated with some partial amnesia for the event, was the most common clinical presentation of an IS. Additionally, specific and nonspecific postictal EEG abnormalities were observed in the majority of the IS patients, while the EEG was normal in more than 90% of the TIA patients. Conclusions: An IS must be suspected in a patient with a short temporary speech disturbance and partial amnesia for the event. In view of the new definition of a TIA, urgent EEG becomes mandatory in each patient with a brief episode of neurological dysfunction.

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Aphasic Status Epilepticus

Cited by 22 publications

References 8 publications

Aphasia as the Sole Manifestation of Simple Partial Status Epilepticus

Aphasia as the Sole Manifestation of Simple Partial Status Epilepticus

Dysphasia Accompanied by Periodic Lateralized Epileptiform Discharges.

Transient Ischemic Attacks and Inhibitory Seizures in Elderly Patients

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