Lee S I, Sutherling W W, Persing J A, Butler A B
Arch Neurol. 1980 Jul;37(7):433-6. doi: 10.1001/archneur.1980.00500560063008.
After anastomosis of the superficial temporal to the middle cerebral artery, partial motor seizures referable to the left inferior motor strip and Broca's area developed in a 48-year-old man. These seizures were readily induced by attempts to speak, to read silently or aloud, and to write. The seizures were not induced by simple movements of the ocular, facial, jaw, throat, and extremity muscles, primary sensory stimuli, or higher intellectual function such as calculation. The patient had nonfluent dysphasia, but he had no comprehension disorder. A clear focal onset of electrographic seizures was recorded maximally at the left temporal region on reading aloud and at the left central area on writing. The cerebral evoked potentials were mildly abnormal on the affected hemisphere. This case shows cortical onset of language-induced seizure.
在将颞浅动脉与大脑中动脉吻合后，一名48岁男性出现了与左侧下运动区和布罗卡区相关的部分运动性癫痫发作。试图说话、默读或朗读以及书写时很容易诱发这些癫痫发作。眼部、面部、颌部、喉部和肢体肌肉的简单运动、初级感觉刺激或计算等高级智力功能不会诱发癫痫发作。该患者存在非流利性失语，但没有理解障碍。大声朗读时，脑电图癫痫发作的明确局灶性起始点最大程度地记录在左侧颞区，书写时记录在左侧中央区。患侧半球的大脑诱发电位轻度异常。该病例显示了语言诱发癫痫发作的皮质起始。
