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Nonconvulsive status epilepticus presenting as a subacute progressive aphasia

Authors
 P.W. Chung  ;  D.W. Seo  ;  J.C. Kwon  ;  H. Kim  ;  D.L. Na 
Citation
 SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, Vol.11(7) : 449-454, 2002 
Journal Title
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY
ISSN
 1059-1311 
Issue Date
2002
MeSH
Brain/blood supply ; Brain/pathology ; Diagnosis, Differential ; Electroencephalography ; Humans ; Landau-Kleffner Syndrome/diagnosis* ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Status Epilepticus/diagnosis* ; Tomography, Emission-Computed
Keywords
non-convulsive status epilepticus ; aphasia ; positron emission tomography
Abstract
We report a 62-year-old man with non-convulsive status epilepticus (NCSE) presenting as a progressive aphasia that developed insidiously over 5 weeks. On video-EEG monitoring, aggravation of the aphasia coincided with occurrence of seizure activities arising from the left fronto-temporal area. Brain MRI was noncontributory but a fluorodeoxyglucose-PET scan revealed a hypometabolism in the left anterior temporal area. Following anticonvulsant treatment, aphasia recovered gradually over several weeks despite prompt resolution of epileptic discharges on EEG. Our patient's findings, gradual onset of isolated aphasia with gradual resolution after initiation of treatment, may differ from previously reported cases with aphasic status epilepticus because their aphasia showed abrupt onset and rapid resolution with anticonvulsant medication.
Files in This Item:
T200207096.pdf Download
DOI
10.1053/seiz.2002.0678
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyang Hee(김향희) ORCID logo https://orcid.org/0000-0003-4949-2512
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/144093
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