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Epileptic AphasiaFirst Onset of Prolonged Monosymptomatic Status Epilepticus in Adults
Anis Racy, MD;
Morris A. Osborn, MD;
Boris A. Vern, MD, PhD;
Gaetano F. Molinari, MD
Arch Neurol. 1980;37(7):419-422.
Abstract
• Epileptic aphasia in adults is a rarely described syndrome. Its occurrence in individuals without a clear-cut history of seizures raises diagnostic difficulties with important therapeutic implications. Two such cases are reported in which the diagnosis was confirmed by EEG with a dramatic therapeutic response to anticonvulsant medication. The EEG criteria leading to detection of the epileptic nature of the syndrome are detailed. Maintaining a high index of suspicion in cases with fluctuating symptoms remains crucial for early diagnosis and management, especially in terms of differentiating epileptic aphasia from transient ischemic phenomena.
Author Affiliations
From the Department of Neurology, George Washington University Medical Center (Drs Racy, Osborn, Vern, and Molinari), and the Group Health Associates (Dr Osborn), Washington, DC. Dr Vern is now with the Department of Neurology, the University of Iowa Hospitals and Clinics, Iowa City.
Footnotes
Accepted for publication July 8, 1979.
Reprint requests to Department of Neurology, the George Washington University Medical Center, Rm 352, 2150 Pennsylvania Ave, NW, Washington, DC 20037 (Dr Racy).
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