Abstract | OBJECTIVE: To evaluate clinical and EEG features, as well as treatment and progression in fifteen patients with a diagnosis of acquired epileptic aphasia. PATIENTS AND METHODS: The population comprised nine male and six female patients, whose mean age was 14.5 (r = 8.11-20 years). All were on routine antiepileptic drugs. Inclusion criteria were acute, subacute or chronic aphasia, lacking signs of motor deficit or demonstrable brain lesion, but displaying bilateral spikes or generalized spike-wave discharges. Throughout, sleep and waking EEG, neuroimaging, brainstem auditory evoked potentials and neuro-psychological evaluations were performed. Cortical brainstem auditory evoked potentials were carried out in ten cases. RESULTS: Median age at onset of verbal auditory agnosia was 5.6 years (r = 1.1-8.6 years), which eleven cases developed epileptic seizures at a median age of five years. Waking and sleep EEG were abnormal but brainstem auditory evoked potentials were normal throughout. Cortical brainstem auditory evoked potentials in ten patients displayed P300 wave and vertex potential alterations. Five cases received 1-3 mg/kg/day prednisone during 6-12 months, with almost complete speech recovery in four. At the last follow-up, language impairment was mild in five patients, moderate in five and severe in three, while two children recovered normal speech. CONCLUSIONS:
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Authors | R H Caraballo, I I Yépez, A L Soprano, R O Cersósimo, C Medina, N Fejerman |
Journal | Revista de neurologia
(Rev Neurol)
1999 Nov 16-30
Vol. 29
Issue 10
Pg. 899-907
ISSN: 0210-0010 [Print] Spain |
Vernacular Title | Afasia epiléptica adquirida. |
PMID | 10637836
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aphasia
(complications, diagnosis)
- Arousal
(physiology)
- Brain
(anatomy & histology, diagnostic imaging)
- Child
- Chronic Disease
- Electroencephalography
- Epilepsy, Generalized
(complications, diagnosis)
- Evoked Potentials, Auditory, Brain Stem
(physiology)
- Female
- Humans
- Magnetic Resonance Imaging
- Male
- Neuropsychological Tests
- Severity of Illness Index
- Sleep, REM
(physiology)
- Tomography, X-Ray Computed
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