Document Detail

Recurrent fluent aphasia associated with a seizure focus.
MedLine Citation:
PMID:  1611466     Owner:  NLM     Status:  MEDLINE    
The relationship between dominant hemisphere seizure activity and aphasia is unclear. Although speech arrest, expressive speech problems, and comprehension difficulties have often been associated with temporal lobe seizure activity, neologistic, paraphasic speech is rare. We report a patient with seizures following encephalitis who had recurrent episodes of fluent, severely aphasic speech with impaired comprehension which correlated with continuous, high voltage spike and slow wave activity in the left temporal region. During a several-day period of intermittent electrographic seizure activity, he had fluctuating receptive aphasia, and he developed transient paranoid psychosis following treatment. We discuss the behavioral manifestations of his left temporal seizures and correlate the changing nature of his behavior with therapeutic interventions. This case, as well as a review of others, suggests that paroxysmal fluent aphasia results from a partially treated electrographic seizure focus in the dominant temporal lobe.
R Smith Doody; R A Hrachovy; E P Feher
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Brain and language     Volume:  42     ISSN:  0093-934X     ISO Abbreviation:  Brain Lang     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-07-29     Completed Date:  1992-07-29     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7506220     Medline TA:  Brain Lang     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  419-30     Citation Subset:  IM    
Department of Neurology, Baylor College of Medicine, Houston, TX 77030.
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MeSH Terms
Anomia / diagnosis,  physiopathology,  psychology
Aphasia, Wernicke / diagnosis,  physiopathology*,  psychology
Epilepsy, Temporal Lobe / diagnosis,  physiopathology*,  psychology
Middle Aged
Neuropsychological Tests
Speech Perception / physiology
Temporal Lobe / physiopathology
Verbal Behavior / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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