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Ictal Speech Manifesting as Sleep Talking: A Case Report Takehiro Suzuki 1,2 , Yosuke Kakisaka 1 , Yu Kitazawa 1 , Kazutaka Jin 1 , Shiho Sato 3 , Masaki Iwasaki 4 , Mayu Fujikawa 1 , Yoshiyuki Nishio 5 , Akitake Kanno 6 , Nobukazu Nakasato 1 1Department of Epileptology, Tohoku University Graduate School of Medicine 2Tohoku University School of Medicine 3Department of Diagnostic Radiology, Tohoku University Graduate School of Medicine 4Department of Neurosurgery, Tohoku University Graduate School of Medicine 5Department of Behavioral Neurology and Cognitive Neuroscience, Tohoku University Graduate School of Medicine 6Institute of Development, Aging and Cancer, Tohoku University Keyword: 寝言 , 発作時発話 , 多小脳回 , sleep talking , ictal speech , polymicrogyria pp.167-171
Published Date 2017/2/1
DOI https://doi.org/10.11477/mf.1416200657
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Abstract

We present a 28-year-old female patient whose epilepsy started at the age of 19. MRI showed right perisylvian polymicrogyria. She exhibited various seizure symptoms, such as somatosensory aura involving the left leg, dyscognitive seizures, and amnesic seizures. Her mother indicated that the patient sometimes had “sleep talking”, which was associated with presence of epileptic seizures of the next day. Long-term video electroencephalography (EEG) revealed that her episodes of “sleep talking” were epileptic events, specifically ictal speech, originating in the right hemisphere. The present case demonstrates the importance of considering “sleep talk” as an epileptic symptom. Careful history taking is fundamental to carry patients with possibly pathological “sleep talk” to the long-term video EEG, which will contribute correct diagnosis and treatment.

(Received August 16, 2016; Accepted September 9, 2016; Published February 1, 2017)


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電子版ISSN 1344-8129 印刷版ISSN 1881-6096 医学書院

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