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KMID : 1160420220040010032
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Epilia: Epilepsy Commun
2022 Volume.4 No. 1 p.32 ~ p.35
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A Case of Left Temporal Lobe Epilepsy with Transient Neologism
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Shin Hye-Rim
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Abstract
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Temporal lobe epilepsy causes seizures, the semiology of which varies depending on lateralization, including aphasic seizures in the dominant hemisphere. Herein, the author report a rare case of isolated aphasia in a patient with left temporal lobe epilepsy. An 85-year-old man visited the emergency room, presenting with aphasia for 15 hours. He did not have any past medical history of neurologic diseases, but had diabetes and hypertension. Brain magnetic resonance imaging revealed no structural lesion capable of causing language dysfunction. The symptoms improved spontaneously after 1 day, but recurrent episodes of aphasia and neologism occurred. The author performed 24-hour video electroencephalography monitoring, which suggested aphasic seizures, and intermittent rhythmic delta activities were observed in the left temporal area. Therefore, the author initiated treatment with an antiseizure medication, and the patient was discharged without neurologic complications.
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KEYWORD
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Paraphasia, Aphasia, Epilepsy
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