Recurrent Seizures and Prolonged Post-Ictal Aphasia in a Patient with Multiple Sclerosis | Zendy

Asmahan Al-Shubaili | Zendy; S. Farah | Zendy; Adnan J. Khuraibet | Zendy; S. Khaffagi | Zendy

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Recurrent Seizures and Prolonged Post-Ictal Aphasia in a Patient with Multiple Sclerosis

Author(s) -

Asmahan Al-Shubaili,

S. Farah,

Adnan J. Khuraibet,

S. Khaffagi

Publication year - 1998

Publication title -

medical principles and practice

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.426

H-Index - 45

eISSN - 1423-0151

pISSN - 1011-7571

DOI - 10.1159/000026035

Subject(s) - ictal , medicine , aphasia , epilepsy , temporal lobe , multiple sclerosis , audiology , psychiatry

Objective: To evaluate the duration and underlying patholo- gy of post-ictal aphasia in a patient with multiple sclerosis. Clinical Presentation: A 36-year-old female patient with chronic multiple sclerosis developed recurrent seizures fol- lowed by prolonged stereotyped post-ictal aphasia that lasted for 4-6 days. There was no response to a therapeutic trial of steroids. Investigations: A brain MRI did not reveal new demyelinative plaques. EEG showed persistent abnormalities from the left temporal lobe, which had no temporal relation- ship to the aphasic episodes. Conclusion: We believe that these aphasic episodes represent a post-ictal phenomenon of unusually long duration that has not been reported before.

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