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Aphasic status epilepticus: a case report.

D S Dinner, H Lueders, R Lederman

    Neurology
    |July 1, 1981
    PubMed
    Summary
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    Complex partial status epilepticus, a rare neurological condition, can manifest solely as aphasia. This case study details a diabetic patient experiencing prolonged aphasia diagnosed via electroencephalographic seizure patterns.

    Area of Science:

    • Neurology
    • Epilepsy Research
    • Neuroscience

    Background:

    • Complex partial status epilepticus (CPSE) is a prolonged seizure state.
    • Aphasia, or loss of language ability, as the sole symptom of CPSE is exceptionally rare.
    • Previous literature documents only two such cases.

    Observation:

    • A 60-year-old diabetic patient presented with a 12-day history of aphasia.
    • The patient exhibited no other overt seizure manifestations.
    • Electroencephalographic (EEG) monitoring revealed seizure patterns localized to the left cerebral hemisphere.

    Findings:

    • The patient's prolonged aphasia was diagnosed as aphasic status epilepticus.
    • EEG findings confirmed epileptic activity correlating with the aphasic symptoms.

    Related Experiment Videos

  • This case adds to the limited understanding of focal neurological deficits in CPSE.

    • Implications:

    • Highlights the importance of EEG in diagnosing non-convulsive seizures presenting with subtle neurological deficits.
    • Suggests that aphasia can be the exclusive clinical manifestation of complex partial status epilepticus.
    • Underscores the need for considering epilepsy in the differential diagnosis of new-onset prolonged aphasia.