title: [Ictal Speech Manifesting as Sleep Talking: A Case Report].
abstract: We present a 28-year-old female patient whose epilepsy started at the age of 19. MRI showed right perisylvian polymicrogyria. She exhibited various seizure symptoms, such as somatosensory aura involving the left leg, dyscognitive seizures, and amnesic seizures. Her mother indicated that the patient sometimes had "sleep talking", which was associated with presence of epileptic seizures of the next day. Long-term video electroencephalography (EEG) revealed that her episodes of "sleep talking" were epileptic events, specifically ictal speech, originating in the right hemisphere. The present case demonstrates the importance of considering "sleep talk" as an epileptic symptom. Careful history taking is fundamental to carry patients with possibly pathological "sleep talk" to the long-term video EEG, which will contribute correct diagnosis and treatment. (Received August 16, 2016; Accepted September 9, 2016; Published February 1, 2017).
authors.affiliation: Department of Epileptology, Tohoku University Graduate School of Medicine.
authors.forename: Takehiro
authors.initials: T
authors.lastname: Suzuki
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Kakisaka
authors.forename: Yu
authors.initials: Y
authors.lastname: Kitazawa
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Jin
authors.forename: Shiho
authors.initials: S
authors.lastname: Sato
authors.forename: Masaki
authors.initials: M
authors.lastname: Iwasaki
authors.forename: Mayu
authors.initials: M
authors.lastname: Fujikawa
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Nishio
authors.forename: Akitake
authors.initials: A
authors.lastname: Kanno
authors.forename: Nobukazu
authors.initials: N
authors.lastname: Nakasato
mesh_terms: D000328:Adult; D004569:Electroencephalography / Q000379:methods; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D012640:Seizures / Q000503:physiopathology; D020922:Sleep-Wake Transition Disorders / Q000175:diagnosis / Q000503:physiopathology*; D013060:Speech / Q000502:physiology*