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.
Department of Clinical Neurophysiology, University Hospital Marqués de Valdecilla, Santander, Cantabria, Spain. jlfernandez@humv.es
José L
JL
Fernández-Torre
Julio
J
Pascual
Remedios
R
Quirce
Agustín
A
Gutiérrez
Marián
M
Martínez-Martínez
Mariano
M
Rebollo
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