Ictal conduction aphasia and ictal angular gyrus syndrome as rare manifestations of epilepsy: The importance of ictal testing during video-EEG monitoring

Publication date: Available online 3 August 2017 Source:Epilepsy & Behavior Case Reports Author(s): Johann Philipp Zöllner, Anja Haag, Anke Hermsen, Sebastian Bauer, Friederike Stahl, Karina Wulf, Katja Menzler, Philipp S. Reif, Marlies Wagner, Axel Pagenstecher, Ulrich Sure, Susanne Knake, Felix Rosenow, Adam Strzelczyk The aim of these two case reports is to demonstrate that a predefined, structured, multimodal clinical bed-side testing during seizures in a long-term video-EEG monitoring setting allows to retrospectively diagnose complex neuropsychological syndromes. To the best of our knowledge, we present the first case of an ictal conduction aphasia as the sole ictal semiology, and a patient with an angular gyrus syndrome of the speech dominant hemisphere. The relevance of diagnosing aphasic and angular gyrus syndromes for localising the symptomatogenic zone is discussed, and current pathophysiological concepts are presented regarding conduction aphasia and Gerstmann's syndrome.

Source: Epilepsy and Behavior Case Reports - August 3, 2017 Category: Neurology Source Type: research