Ictal aphasia as manifestation of partial status epilepticus in a long-lasting misdiagnosed symptomatic epilepsy: An emblematic case

F. Sperli, F. Placidi, F. Izzi, M. G. Marciani, R. Floris, A. Ludovici, A. Cervellino, F. Torelli, A. Romigi

Research output: Contribution to journalArticlepeer-review

Abstract

Magnetic Resonance Imaging (MRI) represents the procedure of choice for detection of anatomical lesions in epilepsy. Vascular malformations in central nervous system, such as cavernoma, can cause symptomatic epilepsy. We describe a case of ictal aphasia as manifestation of a partial status epilepticus probably due to a mutual interaction between a recent bleeding cavernoma and a concomitant reduction of antiepileptic treatment in a long-lasting misdiagnosed symptomatic epilepsy. We conclude that MRI is a mandatory diagnostic method to identify structural abnormalities underlying epilepsy in all patients affected by recurrent focal seizures independent of the duration of epilepsy.

Original languageEnglish
Pages (from-to)531-537
Number of pages7
JournalInternational Journal of Neuroscience
Volume119
Issue number4
DOIs
Publication statusPublished - Apr 2009

Keywords

  • Ictal aphasia
  • MRI
  • Partial status epilepticus

ASJC Scopus subject areas

  • Neuroscience(all)

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