Epileptic Aphasia

Racy, Anis; Osborn, Morris A.; Vern, Boris A.; Molinari, Gaetano F.

doi:10.1001/archneur.1980.00500560049004

Cited by 45 publications

(10 citation statements)

References 5 publications

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“…CT/magnetic resonance imaging findings in the left hemisphere of the brain were reported in 15/23 cases. A total of 8/23 patients (34.8%) presented with aphasia following a stroke ( 4 , 7 , 9 , 11 , 13 , 17 , 18 , 22 ), which is in accordance with data published in a previous report ( 26 ). A total of 6 patients exhibited rapid improvement after the administration of anti-epileptic drugs (AEDs) ( 6 , 8 , 11 , 13 , 19 , 22 ).…”

Section: Literature Reviewsupporting

confidence: 90%

“…The cause of aphasic status epilepticus in the previously published reports included stroke, multiple sclerosis or other diseases. Among the 23 cases, 6 cases were Broca's aphasia ( 4 , 6 – 10 ), 7 were Wernicke's aphasia ( 9 , 11 – 16 ) and 10 cases were global aphasia ( 5 , 17 – 25 ). The presence of prior seizures was reported in 5/23 cases.…”

Section: Literature Reviewmentioning

confidence: 99%

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Aphasic status epilepticus as the sole symptom of epilepsy: A case report and literature review

Qiu

Cui

Sun

et al. 2017

Experimental and Therapeutic Medicine

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Aphasia is a common symptom encountered by neurologists. However, the presence of aphasia as the sole manifestation of partial status epilepticus is rare. The present study reports a case of aphasic status epilepticus in a 27-year-old right-handed female who presented after the abrupt onset of aphasia, which had persisted for 1.5 days. The patient's medical history included head trauma followed by a craniectomy and cranioplasty. Computed tomography scans revealed a lesion in the patient's left parietal lobe, and an electroencephalogram showed a spike and slow wave pattern in the left hemisphere of the brain during aphasia. The patient's condition improved after the oral administration of oxcarbazepine daily. In the present study it was observed that EEGs were a simple method to diagnose aphasic seizures and therefore EEG recordings should be performed in all cases of unexplained aphasia. In addition, the present study reviewed previously reported cases of aphasic status epilepticus.

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Section: Literature Reviewsupporting

confidence: 90%

Section: Literature Reviewmentioning

confidence: 99%

Aphasic status epilepticus as the sole symptom of epilepsy: A case report and literature review

Qiu

Cui

Sun

et al. 2017

Experimental and Therapeutic Medicine

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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: 69%

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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“…This is in accordance with the observation of Ravnik (24), that intravenous administration of diazepam during electric epileptic status during sleep not only suppresses the abnormalities in the EEG, but, moreover, produces an amelioration of the speech disturbances, albeit only temporarily. The analogy with so caIled "epileptic aphasia" (5,11,19,20,22,25,27) is clear, but in the Landau-Kleffner syndrome other cortical functions appear to be involved in the process.…”

Section: Discussionmentioning

confidence: 99%

The Landau-Kleffner Syndrome - Case Report and Theoretical Considerations*

Ansink

Sarphatie²,

Dongen³

1989

Neuropediatrics

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The Landau-Kleffner syndrome is an acquired condition in children consisting of aphasia and epileptic discharges in the EEG with or without clinical manifestation of epilepsy. We describe a case of a very young child whose neurologic and language development before onset of the illness was uniquely well documented. Apart from her aphasia she showed several other disturbances of higher cortical functions in the acute phase of the illness. No anatomical basis has been discovered for this disease till the present day. We discuss the possibility of an electrical dysregulation in several parts of the cortex as a pathophysiological basis for this syndrome.

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Epileptic Aphasia

Cited by 45 publications

References 5 publications

Aphasic status epilepticus as the sole symptom of epilepsy: A case report and literature review

Aphasic status epilepticus as the sole symptom of epilepsy: A case report and literature review

Transient Ischemic Attacks and Inhibitory Seizures in Elderly Patients

The Landau-Kleffner Syndrome - Case Report and Theoretical Considerations*

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