Wells C R, Labar D R, Solomon G E
Department of Neurology and Neurosciences, New York Hospital-Cornell University Medical Center, New York.
Epilepsia. 1992 Jan-Feb;33(1):84-7. doi: 10.1111/j.1528-1157.1992.tb02286.x.
Aphasia due to simple partial status epilepticus is rare, particularly in the absence of a seizure history. No previous report describes acute aphasia as the sole clinical manifestation of EEG-monitored status epilepticus, with prompt resolution with treatment. We report a 45-year-old man with a left temporal glioblastoma who acutely developed a global aphasia, during which an EEG revealed continual repetitive sharp waves emanating from the left hemisphere. After injection of i.v. diazepam, the EEG seizure activity ceased, and the patient's language output returned to preseizure levels.
单纯部分性癫痫持续状态所致失语罕见，尤其是在无癫痫发作史的情况下。既往尚无报告描述急性失语作为脑电图监测到的癫痫持续状态的唯一临床表现，且经治疗后迅速缓解。我们报告一名45岁患有左颞叶胶质母细胞瘤的男性，其急性出现完全性失语，在此期间脑电图显示左半球有持续重复的尖波。静脉注射地西泮后，脑电图癫痫活动停止，患者的语言输出恢复到发作前水平。
