Recurrent Fluent Aphasia Associated with a Seizure Focus  

Oleh:

Hrachovy, Richard A. ; Doddy, Rachelle Smith ; Feher, Edward P.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Brain and Language (Full Text) vol. 42 no. 4 (May 1992), page 419-430.
Fulltext: 42_04_Doody_Hrachovy_Feher.pdf (643.92KB)

Ketersediaan

Perpustakaan PKBB Nomor Panggil: 405/BAL/42 Non-tandon: tidak ada Tandon: 1

Lihat Detail Induk

Isi artikel

The relationship between dominant hemisphere seizure activity and aphasia is unclear. Although speech arrest, expressive speech problems, and comprehension difficulties have often been associated with temporal lobe seizure activity, neologistic, paraphasic speech is rare. We report a patient with seizures following encephalitis who had recurrent episodes of fluent, severely aphasic speech with impaired comprehension which correlated with continuous, high voltage spike and slow wave activity in the left temporal region. During a several-day period of intermittent electrographic seizure activity, he had fluctuating receptive aphasia, and he developed transient paranoid psychosis following treatment. We discuss the behavioral manifestations of his left temporal seizures and correlate the changing nature of his behavior with therapeutic interventions. This case, as well as a review of others, suggests that paroxysmal fluent aphasia results from a partially treated electrographic seizure focus in the dominant temporal lobe. @ 1992 Academic Press. Inc.

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