Complex epileptic palilalia: A case report

Landi, Doriana; Benvenga, Antonella; Quattrocchi, Carlo Cosimo; Vollero, Luca; Assenza, Giovanni; Pellegrino, Giovanni; Campana, Chiara; Tombini, Mario

doi:10.1016/j.seizure.2012.06.009

Cited by 11 publications

(11 citation statements)

References 8 publications

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“…34,60,62,[76][77][78][79][80][81][82][83][84][85] A family with extensive intracerebral calcification was reported to present palilalia, 86 and indeed patients with Fahr syndrome, an etiologically heterogeneous disorder, 87 will often present this clinical sign. Further, palilalia was reported as ictal, 88 autoimmune, 89 and drug-induced phenomenon (eg, with clozapine 90 or cefepime 91 ).…”

Section: Palilaliamentioning

confidence: 99%

The spectrum of involuntary vocalizations in humans: A video atlas

et al. 2019

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In clinical practice, involuntary vocalizing behaviors are typically associated with Tourette syndrome and other tic disorders. However, they may also be encountered throughout the entire tenor of neuropsychiatry, movement disorders, and neurodevelopmental syndromes. Importantly, involuntary vocalizing behaviors may often constitute a predominant clinical sign, and, therefore, their early recognition and appropriate classification are necessary to guide diagnosis and treatment. Clinical literature and video‐documented cases on the topic are surprisingly scarce. Here, we pooled data from 5 expert centers of movement disorders, with instructive video material to cover the entire range of involuntary vocalizations in humans. Medical literature was also reviewed to document the range of possible etiologies associated with the different types of vocalizing behaviors and to explore treatment options. We propose a phenomenological classification of involuntary vocalizations within different categorical domains, including (1) tics and tic‐like vocalizations, (2) vocalizations as part of stereotypies, (3) vocalizations as part of dystonia or chorea, (4) continuous vocalizing behaviors such as groaning or grunting, (5) pathological laughter and crying, (6) vocalizations resembling physiological reflexes, and (7) other vocalizations, for example, those associated with exaggerated startle responses, as part of epilepsy and sleep‐related phenomena. We provide comprehensive lists of their associated etiologies, including neurodevelopmental, neurodegenerative, neuroimmunological, and structural causes and clinical clues. We then expand on the pathophysiology of the different vocalizing behaviors and comment on available treatment options. Finally, we present an algorithmic approach that covers the wide range of involuntary vocalizations in humans, with the ultimate goal of improving diagnostic accuracy and guiding appropriate treatment. © 2019 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society.

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Section: Palilaliamentioning

confidence: 99%

The spectrum of involuntary vocalizations in humans: A video atlas

et al. 2019

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“…6 Palilalia as an ictal manifestation of epilepsy has been localized to the left supplementary motor area and nonictal cases to the left superior frontal gyrus, frontotemporal convexity, or basal ganglia. [7][8][9] Such heterogeneous locations suggest a cortico-subcortical phonologic circuit where the left prefrontal cortex and basal ganglia are important hypernodes. 3 In this case, there seems to be an open loop with the absence of auditory working memory-secondary to the left frontal lesiondriving the palilalia.…”

Section: Discussionmentioning

confidence: 99%

Palilalia due to steroid-responsive encephalopathy

et al. 2017

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alilalia was first described by Souques in 1908 as the repetition of syllables, words, phrases, or sentences of one's own speech. 1,2 It is distinctive from disarticulation, reiterative aphasia, and echolalia. Critchley 1 observed that the speech tends to be uttered more and more quickly and with less distinctness, so that the latter parts may be almost inaudible-the diminuendo effect. His patients were fully aware of their palilalia, but unable to control it. 1 Critchley 1 believed palilalia was due to a disorder in the motor mechanism of speaking rather than the creation of thoughts and words themselves. Benke and Butterworth 3 expanded on the idea of palilalia as a disorder of motor speech and suggested that, further, it could stem from a defect in a central prearticulatory generator area, or the control module of the articulator or motor speech that provides feedback to terminate the loop. In 1924, Sterling further divided palilalia into 2 distinct types. Type A was palilalia spasmodic or heterophonic, a "compulsive reiteration of utterance with increasing rapidity and decreasing volume," similar to previously described cases. He added a new type B: atonic or homophonic palilalia, a "reiteration of utterances at a constant rate alternating with periods of silence." 4,5 We present a case of palilalia caused by a steroid-responsive encephalopathy that does not squarely fall into the previously defined categories.

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“…De acordo com a literatura internacional, a palilalia é um transtorno de linguagem que está associada à doença de Parkinson, síndrome de Tourrette e acidentes vasculares cerebrais. Landi et. al.…”

Section: Palilaliaunclassified

A repetição na linguagem de MM: uma discussão à luz da Neurolinguística Discursiva

Sampaio

Lacerda

2017

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Neste artigo, apresentamos resultados a respeito da repetição na linguagem oral do sujeito MM que apresenta a palilalia como alteração linguística. Descrevemos e analisamos a repetição na fala desse sujeito. Para tanto, utilizamos os estudos da Neurolinguística Discursiva (ND) aliados aos estudos referentes à repetição presentes na Linguística. Os resultados apontam que as repetições estão além de um monitoramento da linguagem oral estabelecendo um planejamento visto e que se apresentam como uma forma de manutenção de MM na interação por meio de atividades epilinguísitcas.

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Complex epileptic palilalia: A case report

Cited by 11 publications

References 8 publications

The spectrum of involuntary vocalizations in humans: A video atlas

The spectrum of involuntary vocalizations in humans: A video atlas

Palilalia due to steroid-responsive encephalopathy

A repetição na linguagem de MM: uma discussão à luz da Neurolinguística Discursiva

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