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[Epilepsy-acquired aphasia syndrome with psychosis. Report of a case ]
A Zivi1, G Broussaud, S Daymas
1Service de Psychopathologie de l'Enfant et de l'Adolescent, Clinique Georges-Heuyer, Paris.
Insights
Landau-Kleffner syndrome, a rare condition, caused a boy to lose speech and develop behavioral issues. This case highlights the complex link between acquired aphasia and psychosis in children.
Area of Science:
- Pediatric Neurology
- Developmental Neuroscience
- Child Psychiatry
Background:
- Landau-Kleffner syndrome is a rare neurological disorder characterized by acquired aphasia and epilepsy.
- Early childhood development is typically normal before the onset of symptoms.
Observation:
- A three-year-old boy experienced developmental regression, including speech loss, eating and sleep disturbances, and stereotyped behaviors suggestive of infantile psychosis.
- Electroencephalogram (EEG) revealed paroxysmal anomalies during sleep, without clinical seizures.
Findings:
- The patient was diagnosed with epilepsia-acquired aphasia syndrome (Landau-Kleffner syndrome).
- Psychotic disorders were viewed as intertwined with Landau-Kleffner syndrome, not a separate differential diagnosis.
Implications:
- This case underscores the intricate relationship between acquired aphasia and psychotic features in pediatric neurological disorders.
- Understanding this comorbidity is crucial for accurate diagnosis and management of Landau-Kleffner syndrome and related conditions.
Abstract:
We report the case of a boy whose development was normal until the age of three when regression with loss of speech occurred. Other anomalies included eating and sleep disorders, sterotyped behavior disorders, suggesting infantile psychosis. The electroencephalogram evidenced paroxysmal anomalies, particularly during sleep, with no clinical seizures. The diagnosis of epilepsia-acquired aphasia syndrome (Landau-Kleffner syndrome) was made. The psychotic disorders were not considered as a differential diagnosis but rather as intertwined with the elements of the syndrome. The relationship between acquired aphasia and psychosis are discussed.