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Unusual presentation of more common disease/injury
CASE REPORT
Adult-onset epileptic aphasia
  1. Edite Marques Mendes1,
  2. Amélia Mendes2,
  3. Carlos Ribeiro1,
  4. Diana Guerra1
  1. 1Medicina 1, Unidade Local de Saude do Alto Minho EPE, Viana do Castelo, Portugal
  2. 2Neurology, Unidade Local de Saude do Alto Minho EPE, Viana do Castelo, Portugal
  1. Correspondence to Dr Edite Marques Mendes, editemarquesmendes{at}gmail.com

Summary

Aphasia is a language disorder characterised by loss of ability to produce or comprehend written or spoken language. In majority of the cases, it is due to stroke. Aphasia may also present as an ictal or postictal state of temporal or frontal lobe seizures. Nevertheless, its isolated occurrence in individuals without a clear-cut history of seizures raises diagnostic difficulties with important therapeutic implications.

A case of epileptic aphasia is reported in which the diagnosis was confirmed by electroencephalogram with a dramatic therapeutic response to an antiepileptic drug.

  • neurology (drugs and medicines)
  • epilepsy and seizures

https://doi.org/10.1136/bcr-2018-225563

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    Footnotes

    • Contributors EMM directly attended the patient and was responsible for drafting the article and revising it critically. AM and CR directly attended the patient and contributed to the article conception and design and article reviewing. DG contributed to the article reviewing and final approval of the version to be published.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.