Neurologist - Clinical Neurophysiology Fellow with emphasis in Epilepsy, Universidad del Rosario, School of Medicine and Health Sciences - Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Neurologist- Epileptologist, Hospital Universitario Fundación Santa Fe de Bogotá.
Neurocase. 2022 Jun;28(3):331-334. doi: 10.1080/13554794.2022.2081087. Epub 2022 May 24.
Language disturbances are common manifestations of non-convulsive seizures in focal epilepsy. Ictal aphasia and speech arrest are the most representative. On the other hand, ictal paraphasia is a rare clinical manifestation of dominant temporal lobe epilepsy, with few cases reported in the literature. We describe a 73-year-old woman with focal onset unaware seizures presenting with phonemic paraphasias related to a left anterior temporal low-grade glioma. This ictal speech manifestation can be easily misdiagnosed and treated as other neurological or mental illnesses and can be considered a lateralizing sign in epilepsy when an appropriate anatomo - electro - clinical correlation is done.
语言障碍是局灶性癫痫非惊厥性发作的常见表现。癫痫失语和言语暂停是最具代表性的。另一方面，发作性错语是优势颞叶癫痫的一种罕见临床表现，文献报道的病例很少。我们描述了一例 73 岁女性，局灶性起始无意识发作，表现为与左前颞部低级胶质瘤相关的语音性错语。这种发作性言语表现容易被误诊为其他神经或精神疾病，当进行适当的解剖-电-临床相关性研究时，可被视为癫痫的定位征象。
