Thomas P, Kullmann B, Chatel M
Service de Neurologie, Hôpital Pasteur, Nice.
Rev Neurol (Paris). 1991;147(3):246-50.
Aphasia as the sole manifestation of focal status epilepticus in adult is rarely described. Such a case is reported here. Two separate episodes were studied: 1) prolonged mixed aphasia with continuous epileptic patterns; 2) Epileptic aphasia organized in shortly spaced temporal seizures marked by total suspension of speech, paraphasic utterances characterizing the interictal period. The clinical and EEG criteria and nosographic situation of this syndrome are reviewed. We conclude that epileptic aphasia exists if a fixed and lasting epileptic condition is created, even if a post-ictal phenomenon accounts for the symptomatology.
成人局灶性癫痫持续状态以失语症为唯一表现的情况鲜有描述。本文报告了这样一例病例。研究了两个独立的发作期：1）伴有持续癫痫样模式的持续性混合性失语症；2）以短暂间隔的颞叶癫痫发作形式出现的癫痫性失语症，其特征为言语完全停顿，发作间期出现错语。本文回顾了该综合征的临床、脑电图标准及疾病分类情况。我们得出结论，即使症状表现是发作后现象，但如果出现固定且持久的癫痫状态，那么癫痫性失语症是存在的。
