Unità di Neurologia, Campus Bio-Medico University of Rome, Italy.
Seizure. 2012 Oct;21(8):655-7. doi: 10.1016/j.seizure.2012.06.009. Epub 2012 Jul 7.
Palilalia is a kind of motor perseveration involving speech, consisting in the continuous repetition of words or phrases, or both. Rarely it occurs in seizure disorders as ictal or post-ictal manifestation. We report a case of epileptic palilalia in a 71-year-old patient with a previous history of intracerebral haemorrhage in the left frontal region, characterized by the continuous repetition of the same speech sequence for few minutes. EEG recordings during NREM sleep and wakefulness showed recurrent and prolonged focal subclinical epileptiform paroxysms in the left mesial frontal region. Our case confirms the role of the left frontal lobe, reliably of the supplementary motor area (SMA), as neuroanatomic origin of ictal palilalia.
言语性持续言语是一种涉及言语的运动性持续状态，表现为持续重复单词或短语，或两者兼而有之。在癫痫发作中或发作后很少作为局灶性发作出现。我们报告了一例 71 岁患者的癫痫性持续言语，该患者既往有左侧额区脑出血病史，表现为持续几分钟重复相同的言语序列。在非快速眼动睡眠和觉醒期间进行的脑电图记录显示左侧内侧额区反复出现和延长的局灶性亚临床癫痫样发作。我们的病例证实了左侧额叶，即补充运动区（SMA）作为发作性持续言语的神经解剖起源的作用。
