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Aphasic status epilepticus

MedGen UID:
1710074
•Concept ID:
C5397855
•
Disease or Syndrome
HPO: HP:0032849

Definition

Aphasic status epilepticus is a type of focal non-convulsive status epilepticus without coma characterized by a cognitive (rather than motor) language deficit. [from HPO]

Professional guidelines

PubMed

Isolated aphasic status epilepticus: CT perfusion, SPECT and EEG reveal neurovascular coupling and support the differential diagnosis.
Manganotti P, Furlanis G, Cova MA, Olivo S, Dore F, Sartori A, Naccarato M
Epileptic Disord 2022 Jun 1;24(3):549-554. doi: 10.1684/epd.2022.1421. PMID: 35653085
New-onset non-lesional aphasic status epilepticus. Clinical description, diagnostic clues, and treatment algorithm.
Jaraba Armas S, Sala-Padró J, Veciana M, Arroyo P, Pedro J, Mora J, Fernandez M, Camins À, Rodriguez-Bel L, Falip M
Acta Neurol Scand 2022 May;145(5):579-589. Epub 2022 Feb 7 doi: 10.1111/ane.13586. PMID: 35130366

Recent clinical studies

Etiology

Aphasic status epilepticus in a tertiary referral center in Turkey: Clinical features, etiology, and outcome.
Azman F, Tezer FI, Saygi S
Epilepsy Res 2020 Nov;167:106479. Epub 2020 Sep 29 doi: 10.1016/j.eplepsyres.2020.106479. PMID: 33038720
Aphasic status epilepticus: electroclinical correlation.
Ericson EJ, Gerard EE, Macken MP, Schuele SU
Epilepsia 2011 Aug;52(8):1452-8. Epub 2011 May 31 doi: 10.1111/j.1528-1167.2011.03084.x. PMID: 21627646
Recurrent aphasic status epilepticus after prolonged generalized tonic-clonic seizures versus a special feature of Todd's paralysis.
Rösche J, Schley A, Schwesinger A, Grossmann A, Mach H, Benecke R, Walter U
Epilepsy Behav 2011 Jan;20(1):132-7. Epub 2010 Dec 4 doi: 10.1016/j.yebeh.2010.11.001. PMID: 21131238
MRI findings in aphasic status epilepticus.
Toledo M, Munuera J, Sueiras M, Rovira R, Alvarez-Sabín J, Rovira A
Epilepsia 2008 Aug;49(8):1465-9. Epub 2008 Jun 3 doi: 10.1111/j.1528-1167.2008.01620.x. PMID: 18522643

Diagnosis

Isolated aphasic status epilepticus: CT perfusion, SPECT and EEG reveal neurovascular coupling and support the differential diagnosis.
Manganotti P, Furlanis G, Cova MA, Olivo S, Dore F, Sartori A, Naccarato M
Epileptic Disord 2022 Jun 1;24(3):549-554. doi: 10.1684/epd.2022.1421. PMID: 35653085
New-onset non-lesional aphasic status epilepticus. Clinical description, diagnostic clues, and treatment algorithm.
Jaraba Armas S, Sala-Padró J, Veciana M, Arroyo P, Pedro J, Mora J, Fernandez M, Camins À, Rodriguez-Bel L, Falip M
Acta Neurol Scand 2022 May;145(5):579-589. Epub 2022 Feb 7 doi: 10.1111/ane.13586. PMID: 35130366
Aphasic status epilepticus in a tertiary referral center in Turkey: Clinical features, etiology, and outcome.
Azman F, Tezer FI, Saygi S
Epilepsy Res 2020 Nov;167:106479. Epub 2020 Sep 29 doi: 10.1016/j.eplepsyres.2020.106479. PMID: 33038720
When aphasia is due to aphasic status epilepticus: a diagnostic challenge.
Quintas S, Ródriguez-Carrillo JC, Toledano R, de Toledo M, Navacerrada Barrero FJ, Berbís MÁ, Gago-Veiga AB
Neurol Sci 2018 Apr;39(4):757-760. Epub 2017 Dec 18 doi: 10.1007/s10072-017-3218-9. PMID: 29255963
Aphasic status epilepticus.
Primavera A, Bo GP, Venturi S
Eur Neurol 1988;28(5):255-7. doi: 10.1159/000116279. PMID: 3224619

Therapy

Isolated aphasic status epilepticus: CT perfusion, SPECT and EEG reveal neurovascular coupling and support the differential diagnosis.
Manganotti P, Furlanis G, Cova MA, Olivo S, Dore F, Sartori A, Naccarato M
Epileptic Disord 2022 Jun 1;24(3):549-554. doi: 10.1684/epd.2022.1421. PMID: 35653085
Aphasic status epilepticus after glioma resection: two case reports.
Shimoda Y, Kanamori M, Saito R, Osawa S, Mugikura S, Tominaga T
Acta Neurochir (Wien) 2021 Nov;163(11):3109-3113. Epub 2021 Sep 3 doi: 10.1007/s00701-021-04984-z. PMID: 34477975
When aphasia is due to aphasic status epilepticus: a diagnostic challenge.
Quintas S, Ródriguez-Carrillo JC, Toledano R, de Toledo M, Navacerrada Barrero FJ, Berbís MÁ, Gago-Veiga AB
Neurol Sci 2018 Apr;39(4):757-760. Epub 2017 Dec 18 doi: 10.1007/s10072-017-3218-9. PMID: 29255963
Recurrent aphasic status epilepticus after prolonged generalized tonic-clonic seizures versus a special feature of Todd's paralysis.
Rösche J, Schley A, Schwesinger A, Grossmann A, Mach H, Benecke R, Walter U
Epilepsy Behav 2011 Jan;20(1):132-7. Epub 2010 Dec 4 doi: 10.1016/j.yebeh.2010.11.001. PMID: 21131238
De novo aphasic status epilepticus.
Grimes DA, Guberman A
Epilepsia 1997 Aug;38(8):945-9. doi: 10.1111/j.1528-1157.1997.tb01262.x. PMID: 9579898

Prognosis

Aphasic status epilepticus in a tertiary referral center in Turkey: Clinical features, etiology, and outcome.
Azman F, Tezer FI, Saygi S
Epilepsy Res 2020 Nov;167:106479. Epub 2020 Sep 29 doi: 10.1016/j.eplepsyres.2020.106479. PMID: 33038720
Aphasic status epilepticus preceding tumefactive left hemisphere lesion in anti-MOG antibody associated disease.
Katsuse K, Kurihara M, Sugiyama Y, Kodama S, Takahashi M, Momose T, Yumoto M, Kaneko K, Takahashi T, Kubota A, Hayashi T, Toda T
Mult Scler Relat Disord 2019 Jan;27:91-94. Epub 2018 Oct 15 doi: 10.1016/j.msard.2018.10.012. PMID: 30347340
When aphasia is due to aphasic status epilepticus: a diagnostic challenge.
Quintas S, Ródriguez-Carrillo JC, Toledano R, de Toledo M, Navacerrada Barrero FJ, Berbís MÁ, Gago-Veiga AB
Neurol Sci 2018 Apr;39(4):757-760. Epub 2017 Dec 18 doi: 10.1007/s10072-017-3218-9. PMID: 29255963
Aphasic status epilepticus with periodic lateralized epileptiform discharges in a bilingual patient as a presenting sign of "AIDS-toxoplasmosis complex".
Ozkaya G, Kurne A, Unal S, Oğuz KK, Karabudak R, Saygi S
Epilepsy Behav 2006 Aug;9(1):193-6. Epub 2006 May 12 doi: 10.1016/j.yebeh.2006.04.005. PMID: 16697709

Clinical prediction guides

MRI findings in aphasic status epilepticus.
Toledo M, Munuera J, Sueiras M, Rovira R, Alvarez-Sabín J, Rovira A
Epilepsia 2008 Aug;49(8):1465-9. Epub 2008 Jun 3 doi: 10.1111/j.1528-1167.2008.01620.x. PMID: 18522643

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