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Aphasic status epilepticus after glioma resection: two case reports
Yoshiteru Shimoda1, Masayuki Kanamori2, Ryuta Saito2
1Department of Neurosurgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi Aoba-ku, Sendai-shi, 980-8574, Japan. yositeru8_8_8simoda@yahoo.co.jp.
Acta Neurochirurgica
|September 3, 2021
Summary
Aphasic status epilepticus (ASE) can cause delayed aphasia after brain surgery. Early diagnosis with arterial spin labeling and prompt antiepileptic drug treatment are key for recovery.
Area of Science:
- Neurology
- Neuroscience
- Epileptology
Background:
- Aphasic status epilepticus (ASE) is a rare form of nonconvulsive status epilepticus.
- Language impairment is the sole presenting symptom of ASE.
Observation:
- Two cases of delayed-onset temporal aphasia following glioma resection in the language-dominant hemisphere are presented.
- Patients exhibited persistent aphasia post-surgery.
Findings:
- Arterial spin labeling (ASL) proved valuable in diagnosing ASE in these cases.
- Antiepileptic drug therapy was effective in managing the condition.
Implications:
- ASE should be considered in the differential diagnosis of persistent aphasia after glioma surgery near language areas.
- This highlights the importance of considering epileptic phenomena in post-surgical language deficits.
