A Case of Ictal Aphasia Mimicking Transient Ischemic Attack

J Korean Neurol Assoc > Volume 13(2); 1995 > Article

Journal of the Korean Neurological Association 1995;13(2): 374-378.

일과성 뇌허혈증의 양상을 보인 발작성 실어증 1예

백종삼, 조수진, 김경환, 이병인, 김진수

연세대학교 신경과

A Case of Ictal Aphasia Mimicking Transient Ischemic Attack

Jong Sam Baik, M.D., Soo Jin Cho, M.D., Gyunhg Whan Kim, M.D., Byung In Lee, M.D., Jin Soo Kim, M.D.

Department of Neurology, Yonsei University College of Medicine

Abstract

Initial ictal aphasia without epilepsy history is rare. This disorder is recognized hardly, because it is obscured by the lack of other seizure manifestations. A60 year-old woman acutely developed a motor aphasia. Presented manifestations were like transient ischemic attack and so, we initially treated as stroke. But motor aphasia repetitively occurred, and then EEG was performed. EEG revealed repetitive sharp discharges from the left temporoparietal area and after injection of valium, epileptiform discharge ceased and the aphasia disappeared.