KMID : 0363320060270041007
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Journal of Korean Oriental Internal Medicine 2006 Volume.27 No. 4 p.1007 ~ p.1013
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A Clinical Case Report of a Patient with Focal Seizure who Repeatedly Shows Ictal Aphasia for a Short Time
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Kyung Hyuk-Su
Yoo Hee-Jeong Kong Kyung-Hwan
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Abstract
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Seizure can be categorized in various ways. Seizures are divided into those that are generalized and those affecting only part of the brain (focal seizure). Focal (partial) seizures are subdivided into simple seizures and complex seizures. Simple focal seizures may be manifested by focal motor, sensory or autonomic symptoms and consciousness is preserved. The above symptoms may be preceded, accompanied or followed by, and consciousness is impaired in, complex focal seizures. Ictal aphasia can arise from epileptiform discharge on cortical language areas. Generally next to the ictal aphasia, generalized seizures occur, but without losing consciousness, only aphasia takes place. A 61-year-old woman was admitted due to ictal aphasia and facial spasm, and she showed a little palpitation and was startled easily. We diagnosed her as Shimdamgiheo (ãýÓÅѨúÈ) and Damhwashimyo (ÓÃûýãýèö), so we prescribed Chungsimondam-tang. It was effective on that case. so we report.
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KEYWORD
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focal seizure, ictal aphasia, Chungsimondam-tang
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