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Ictal increased writing preceded by dysphasic seizures.

T Ishikawa¹, M Saito, S Fujimoto

¹Department of Pediatrics, Nagoya City University Medical School, Kawasumi, Mizuho-cho, Mizuho-ku, 467-8601, Nagoya, Japan. ishikwt@med.nagoya-cu.ac.jp

Brain & Development

|October 24, 2000

Summary

This summary is machine-generated.

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Increased writing, a potential epileptic symptom, was observed in a child with benign partial seizures. This ictal writing likely originated from the dominant left hemisphere

Area of Science:

Neurology
Epileptology
Neuropsychology

Background:

Ictal increased writing is not a well-established epileptic symptom.
Understanding seizure manifestations is crucial for accurate diagnosis and localization.

Observation:

A schoolchild with benign partial seizures exhibited a progression of symptoms.
The progression included reading-writing dysphasia, followed by increased writing, and finally secondary generalization.

Findings:

This case demonstrates ictal increased writing as a potential seizure symptom.
The patient's ictal increased writing likely originated from the dominant (left) cerebral hemisphere's language area.
This contrasts with the established lateralizing value of non-ictal hypergraphia for the right hemisphere.

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Implications:

Ictal increased writing may serve as a diagnostic marker for epilepsy.
The findings suggest a potential left-hemisphere origin for ictal hypergraphia.
Further research is needed to confirm the lateralizing value of ictal increased writing.