Aphasic status epilepticus in multiple sclerosis

Aphasia due to simple partial status epilepticus is rare. We report a case of prolonged mixed aphasia without clouding of consciousness in a patient with an old history (10 years) of multiple sclerosis (MS). We found a clear clinical-EEG correlation with a continuous epileptic pattern in the shape o...

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Bibliographic Details
Published inEuropean neurology Vol. 36; no. 6; p. 374
Main Authors Primavera, A, Gianelli, M V, Bandini, F
Format Journal Article
LanguageEnglish
Published Switzerland 1996
Subjects
Adult
Chronic Disease
Disease Progression
Electroencephalography
Female
Functional Laterality - physiology
Humans
Landau-Kleffner Syndrome - diagnosis
Landau-Kleffner Syndrome - etiology
Magnetic Resonance Imaging
Multiple Sclerosis - complications
Multiple Sclerosis - pathology
Periodicity
Status Epilepticus - complications
Status Epilepticus - diagnosis
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Summary:Aphasia due to simple partial status epilepticus is rare. We report a case of prolonged mixed aphasia without clouding of consciousness in a patient with an old history (10 years) of multiple sclerosis (MS). We found a clear clinical-EEG correlation with a continuous epileptic pattern in the shape of periodic lateralized epileptiform discharges (PLEDs). Clinical, laboratory and neuroradiological data ruled out possible etiological conditions other than MS and suggested that the development of new subcortical demyelinating lesions might play a critical role in seizure production. These findings, besides the role of PLEDs as an intrinsic feature of the status epilepticus condition, are discussed in relation to the literature.
ISSN:0014-3022
DOI:10.1159/000117296