Chilhood Epilepsy

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A group of special language-regression syndromes exist as a special challenge There are a group of seizure syndromes that are especially prone to emerging in the first decade of life. The onset of seizures, sometimes fairly resistant to medication, may be accompanied by the loss, often severe, of language. The frustrated patient often develops major behavior problems. The seizures may be outgrown, after which language may or may not return. Specific epilepsy language combination syndromes include the acquired agnosia/aphasia with epilepsy syndrome of Landau-Kleffner, the sleep spike-wave status syndrome, absence/minor motor status, protracted partial complex status, and Rasmussen’s encephalitis, the latter often having a dire outcome.

Risse, G. , Farnham, S. , Penovich, P. , et al. (1999). A comparison of cortical language areas in adults vs. children based on electrical stimulation with subdural electrode array. Epilepsia 40 (suppl 7): 53. Ross, E. D. & Mesulam, M. M. (1979). Dominant language functions of the right hemisphere: prosody and emotional gesturing. Arch. Neurol. 36: 144–8. Ross, E. , Harney, J. , deLaCosta-Utemssing, C. & Purdy, P. D. (1981). How the brain integrates affective and prepositional language into a unified behavioral function.

What is heard may seem to be gibberish or meaningless. , 1977). An epileptic agnosia may present as part of a seizure when the child is unable to recognize speech sounds. This may be acute or chronic, transient or persistent. Children with an epilepsy-associated agnosia may seem deaf despite normal audiometric and brainstem evoked potentials. This has been referred to as central word deafness. The EEG shows epileptiform discharges in the dominant temporal lobe. , 1977). Aphasia Aphasia is the loss of understanding of what is said or a difficulty in expressing one’s thoughts through language.

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