Permanent dysphasia after status epilepticus: long-term follow-up in an elderly patient.
We report the long-term follow-up of an elderly patient who developed a permanent sensorimotor dysphasia after status epilepticus. Magnetic resonance imaging of the brain and magnetic resonance angiography failed to demonstrate structural cerebral damage; however, a fluorodeoxyglucose positron emission tomography scan revealed marked hypometabolism involving a large area in the left hemisphere and contralateral cerebellar cortex. Our case illustrates that permanent language dysfunction may occur after recurrent complex partial and secondarily generalized seizures.
Fernández-Torre
José L
JL
Department of Clinical Neurophysiology, University Hospital Marqués de Valdecilla, Santander, Cantabria, Spain. jlfernandez@humv.es
Pascual
Julio
J
Quirce
Remedios
R
Gutiérrez
Agustín
A
Martínez-Martínez
Marián
M
Rebollo
Mariano
M
D000368:Aged; D001037:Aphasia / Q000209:etiology*; D001921:Brain / Q000473:pathology*; D006801:Humans; D008297:Male; D011379:Prognosis; D013226:Status Epilepticus / Q000150:complications*; D015899:Tomography, Emission-Computed, Single-Photon