ICTAL aphasia as manifestation of partial status epilepticus in a long-lasting misdiagnosed symptomatic epilepsy: an emblematic case.
Magnetic Resonance Imaging (MRI) represents the procedure of choice for detection of anatomical lesions in epilepsy. Vascular malformations in central nervous system, such as cavernoma, can cause symptomatic epilepsy. We describe a case of ictal aphasia as manifestation of a partial status epilepticus probably due to a mutual interaction between a recent bleeding cavernoma and a concomitant reduction of antiepileptic treatment in a long-lasting misdiagnosed symptomatic epilepsy. We conclude that MRI is a mandatory diagnostic method to identify structural abnormalities underlying epilepsy in all patients affected by recurrent focal seizures independent of the duration of epilepsy.
Sperli
F
F
Neurophysiopathology Department, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy.
Placidi
F
F
Izzi
F
F
Marciani
M G
MG
Floris
R
R
Ludovici
A
A
Cervellino
A
A
Torelli
F
F
Romigi
A
A
D000927:Anticonvulsants / Q000627:therapeutic use; D001037:Aphasia / Q000209:etiology*; D001921:Brain / Q000473:pathology; D002220:Carbamazepine / Q000627:therapeutic use; D004569:Electroencephalography; D006801:Humans; D008140:Lorazepam / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013226:Status Epilepticus / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
D000927:Anticonvulsants; D002220:Carbamazepine; D008140:Lorazepam