Marques Mendes Edite, Mendes Amélia, Ribeiro Carlos, Guerra Diana
Medicina 1, Unidade Local de Saude do Alto Minho EPE, Viana do Castelo, Portugal.
Neurology, Unidade Local de Saude do Alto Minho EPE, Viana do Castelo, Portugal.
BMJ Case Rep. 2018 Jun 29;2018:bcr-2018-225563. doi: 10.1136/bcr-2018-225563.
Aphasia is a language disorder characterised by loss of ability to produce or comprehend written or spoken language. In majority of the cases, it is due to stroke. Aphasia may also present as an ictal or postictal state of temporal or frontal lobe seizures. Nevertheless, its isolated occurrence in individuals without a clear-cut history of seizures raises diagnostic difficulties with important therapeutic implications.A case of epileptic aphasia is reported in which the diagnosis was confirmed by electroencephalogram with a dramatic therapeutic response to an antiepileptic drug.
失语症是一种语言障碍,其特征是丧失产生或理解书面或口头语言的能力。在大多数情况下,它是由中风引起的。失语症也可能表现为颞叶或额叶癫痫发作的发作期或发作后期状态。然而,在没有明确癫痫发作史的个体中单独出现失语症会带来诊断困难,并具有重要的治疗意义。本文报告了一例癫痫性失语症病例,其诊断通过脑电图得以证实,且对抗癫痫药物有显著的治疗反应。