Long-standing but symptomatic dysphasic affectational state

Abstract

Seizures characterized by language impairment (dysphasia or aphasia) are an uncommon form of focal epilepsy. The diagnosis is usually based on the patient's account and ictal EEG changes in the left temporal lobe. The disease is very rare and only a few cases have been reported in the literature. This article reports 1 case. The patient is a 17-year-old boy whose aunt has a history of epilepsy. The patient began to have frequent generalized tonic seizures when he was 9 years old, and later experienced confusion and psychomotor excitement. At that time, the EEG showed strong paroxysmal electrical activity in the left temporal region, and slow waves and paroxysmal electrical activity in the right temporal region. electrical activity. At the age of 15, paroxysmal inability to speak often occurred. At that time, the consciousness was clear, and the speech of others could be heard, but the meaning of others' speech could not be understood, and he could not speak himself. It was diagnosed as language barrier seizure. had given