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Language dysfunction after frontal lobe partial seizures
Hadassa Goldberg-Stern1, Nathan Gadoth, William Cahill
1Epilepsy Center, Schneider Children's Medical Center of Israel, Petah Tiqva, Israel. sterngoldberg@bezeqint.net
Neurology
|May 12, 2004
Summary
Postictal language delay (PILD) after frontal lobe seizures is uncommon if seizures stay in the dominant frontal lobe. However, PILD frequently occurs when seizures spread from the frontal to the dominant temporal lobe.
Area of Science:
- Neurology
- Epileptology
- Neuropsychology
Background:
- Postictal language delay (PILD) is a recognized phenomenon.
- PILD has been used to lateralize temporal lobe complex partial seizures (CPS).
- The utility of PILD in localizing frontal lobe seizures is less understood.
Purpose of the Study:
- To investigate the occurrence and significance of PILD in patients with frontal lobe CPS.
- To determine if PILD patterns can help lateralize and localize frontal lobe seizures and their spread.
Main Methods:
- The study included 24 patients with a total of 118 frontal lobe CPS.
- PILD was assessed following seizures.
- Seizure origin and spread patterns were analyzed in relation to PILD.
Main Results:
- Prolonged PILD occurred in only 7% of CPS confined to the dominant frontal lobe.
- In contrast, 91% of CPS that began in the frontal lobe and spread to the dominant temporal lobe exhibited prolonged PILD (p = 0.0001).
Conclusions:
- PILD patterns are valuable for localizing frontal lobe CPS.
- Assessing PILD can provide crucial information regarding the spread of seizures from the frontal to the temporal lobe.
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