Speech abnormalities in seizures: A comparison of absence and partial complex seizures

McKeever, Mark; Holmes, Gregory L.; Russman, Barry S.

doi:10.1016/0093-934x(83)90053-6

Cited by 20 publications

(9 citation statements)

References 11 publications

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“…Ictal speech automatisms (ISA) are observed in 12% to 39% of patients with temporal lobe epilepsy (TLE), [1][2][3][4] are usually performed in the mother tongue in unilingual patients, 2 and are significantly more frequent in seizures originating from the nondominant than the dominant temporal lobe. [2][3][4][5] Foreign language ISA (FLISA) is a rare phenomenon that has been reported in only five unilingual right-handed men so far, all of whom had right TLE.…”

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confidence: 99%

“…[2][3][4][5] Foreign language ISA (FLISA) is a rare phenomenon that has been reported in only five unilingual right-handed men so far, all of whom had right TLE. 6,7 We report three additional French unilingual right-handed men who presented English spoken and emotionally salient ISA, benefited from an extensive intracerebral EEG investigation showing right amygdala seizure onset, and achieved long-term seizure freedom following right temporal lobectomy.…”

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confidence: 99%

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Foreign language ictal speech automatisms in nondominant temporal lobe epilepsy

Montavont¹,

Kahane²,

Guénot³

et al. 2008

Neurology

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confidence: 99%

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confidence: 99%

Foreign language ictal speech automatisms in nondominant temporal lobe epilepsy

Montavont¹,

Kahane²,

Guénot³

et al. 2008

Neurology

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“…Ictal and postictal language disturbances during temporal lobe complex partial seizures (CPS) are usually associated with foci in the dominant temporal lobe, but the responsible language area has not been clearly defined (Gastaut and Broughton, 1972;King and Ajmone-Marsan, 1977;McKeever et al, 1983;Koerner et al, 1988;Gabr et al, 1989;Privitera et al, 1991). Aphasic speech arrest at seizure onset in the absence of altered awareness is believed to indicate a posterotemporal epileptogenic focus near Wernicke's language area (Commission, 1985(Commission, , 1989Wieser and Miiller, 1987).…”

Section: Discussionmentioning

confidence: 99%

Global Aphasia with Seizure Onset in the Dominant Basal Temporal Region

et al. 1994

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A 33-year-old right-handed woman had intractable simple and complex partial seizures (SPS, CPS) that began with global aphasia. EEG closed-circuit TV (EEG-CCTV) monitoring with sphenoidal electrodes showed left inferomesial temporal ictal onset of CPS. Subdural electrodes were implanted over the left frontotemporal convexity, subtemporally and subfrontally. Stimulation of the basotemporal cortex produced global aphasia. A posterolaterotemporal language area was also identified. Spontaneous SPS had focal onset in the basal temporal language area (BTLA). Ictal discharges did not involve the posterotemporal region. This case shows that aphasic speech arrest at seizure onset may be due to seizure discharge in the basotemporal region and that the BTLA is clinically relevant in seizure semiology.

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“…Ictal verbal help-seeking may also be considered as an ictal speech automatism. Ictal speech automatisms have been reported in 12% to 39% of patients with temporal lobe epilepsy and are often seen during seizures 7 originating from the nondominant temporal lobe [5][6][7][8] . However, in one study 9 , ictal speech preservation was observed in 5% of the patients with language-dominant (i.e., left) temporal lobe seizures.…”

Section: Discussionmentioning

confidence: 99%