실어성 간질중첩증 2례
Aphasic Status Epilepticus：Two Cases
정기영, 김재문, 남선우,
소속 상세정보
정기영 ( Jung Ki-Young )
대전 선병원 신경과
김재문 ( Kim Jae-Moon )
충남대학교 의과대학 신경과학교실
남선우 ( Nam Seon-Woo )
대전 선병원 신경과
KMID : 0877220000040010047
Abstract
Background & Significance: Aphasic status epilepticus is an uncommon presentation of a simple partial status epilepticus characterized by prolonged speech impairment with clinical-EEG correlation in the absence of an altered level of consciousness. There has been no published report in Korea. This study reports two adult patients with prolonged aphasia and EEG abnormalities.
Case: Total three episodes of aphasic status epilepticus were documented in two patients. Patients were right-handed 58-year-old and 79-year-old women. The cause was intracranial plasma cell granuloma involving left temporal lobe and old left temporo-parietal hemorrhage respectively. Aphasic symptoms of these patients were characterized by difficult comprehension and jargon speech with clear consciousness. The duration of aphasia ranged 9-14 days. EEG showed continuous periodic lateralized sharp waves in one patient and discrete rhythmic theta to alpha activities in left temporo-parieto-occipital region in the other patient.
Comments: Although rare in adults, aphasic status epilepticus should be considered in the differential diagnosis of aphasia.
키워드
부분간질중첩증; 실어증
Partial status epilepticus; Aphasia
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