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Robert Vollbracht, MD
1011 Jeffords St Clearwater, FL 33516

Arch Neurol. 1980;37(12):787.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

I read with interest the article by Rany et al, entitled "Epileptic Aphasia" (ARCHIVES 1980;37:419-422), since I have studied several cases of epileptic aphasia similar to those described.

I certainly concur that at times the diagnostic dilemma with regard to a small left hemispheric infarct vs an epileptogenic lesion is quite difficult. I have had recent experience in using a 24-hour ambulatory EEG, which demonstrated conclusively in a similar case that aphasia was of epileptic rather than ischemic origin. The initial EEG showed left temporal slowing, but did not reveal evidence of paroxysmal activity.

The 24-hour EEG monitoring can play a valuable role in this situation. . . . [Full Text PDF of this Article]

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