Expressive aprosody and amusia as a manifestation of right hemisphere seizures.
OBJECTIVE
Aprosody and amusia are disorders commonly associated with right hemisphere abnormalities. They are regarded as negative phenomena and usually seen after strokes. We report a case of a patient who had both expressive aprosody and amusia as a clinical manifestation of right temporooccipital seizures.


METHODS
A 43-year-old woman had a 1-month history of monotonic speech and difficulty singing. Her examination revealed both expressive aprosody and amusia. Magnetic resonance imaging of the head was normal, but her EEG revealed several electrographic seizures of right temporooccipital origin.


RESULTS
Treatment with phenytoin (PHT) almost immediately caused her speech and singing to return to baseline. A repeated EEG was normal


CONCLUSIONS
Seizures of right temporooccipital origin can manifest with expressive aprosody and amusia.
Bautista
Ramon Edmundo D
RE
Comprehensive Epilepsy Program, Department of Neurology, University of Florida Health Sciences Center/Jacksonville, 32209, USA. ramon.bautista@jax.ufl.edu
Ciampetti
Maribel Z
MZ
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D001044:Aphonia / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D004569:Electroencephalography / Q000706:statistics & numerical data*; D005260:Female; D007839:Functional Laterality / Q000502:physiology*; D006801:Humans; D009146:Music; D009778:Occipital Lobe / Q000503:physiopathology*; D010672:Phenytoin / Q000627:therapeutic use; D012640:Seizures / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D013064:Speech Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D013702:Temporal Lobe / Q000503:physiopathology*; D016896:Treatment Outcome
D000927:Anticonvulsants; D010672:Phenytoin