Aphasia as the sole manifestation of simple partial status epilepticus.
Aphasia due to simple partial status epilepticus is rare, particularly in the absence of a seizure history. No previous report describes acute aphasia as the sole clinical manifestation of EEG-monitored status epilepticus, with prompt resolution with treatment. We report a 45-year-old man with a left temporal glioblastoma who acutely developed a global aphasia, during which an EEG revealed continual repetitive sharp waves emanating from the left hemisphere. After injection of i.v. diazepam, the EEG seizure activity ceased, and the patient's language output returned to preseizure levels.
Wells
C R
CR
Department of Neurology and Neurosciences, New York Hospital-Cornell University Medical Center, New York.
Labar
D R
DR
Solomon
G E
GE
D001037:Aphasia / Q000209:etiology* / Q000503:physiopathology; D001921:Brain / Q000503:physiopathology; D001932:Brain Neoplasms / Q000601:surgery; D003975:Diazepam / Q000627:therapeutic use; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D005910:Glioma / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010672:Phenytoin / Q000627:therapeutic use; D011183:Postoperative Complications / Q000517:prevention & control; D012640:Seizures / Q000517:prevention & control; D013226:Status Epilepticus / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology
D010672:Phenytoin; D003975:Diazepam