Racy A, Osborn M A, Vern B A, Molinari G F
Arch Neurol. 1980 Jul;37(7):419-22. doi: 10.1001/archneur.1980.00500560049004.
Epileptic aphasia in adults is a rarely described syndrome. Its occurrence in individuals without a clear-cut history of seizures raises diagnostic difficulties with important therapeutic implications. Two such cases are reported in which the diagnosis was confirmed by EEG with a dramatic therapeutic response to anticonvulsant medication. The EEG criteria leading to detection of the epileptic nature of the syndrome are detailed. Maintaining a high index of suspicion in cases with fluctuating symptoms remains crucial for early diagnosis and management, especially in terms of differentiating epileptic aphasia from transient ischemic phenomena.
成人癫痫性失语是一种鲜有描述的综合征。它发生在没有明确癫痫发作史的个体中，这给诊断带来困难，并具有重要的治疗意义。本文报告了两例此类病例，其诊断通过脑电图得以证实，且对抗惊厥药物有显著的治疗反应。文中详细阐述了导致该综合征癫痫性质得以检测的脑电图标准。对于症状波动的病例保持高度怀疑指数，对于早期诊断和管理至关重要，特别是在将癫痫性失语与短暂性缺血现象相鉴别方面。
