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International Journal of Neuroscience Volume 119, 2009 - Issue 4
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ICTAL Aphasia as Manifestation of Partial Status Epilepticus in a Long-Lasting Misdiagnosed Symptomatic Epilepsy: An Emblematic Case

F. Sperli Neurophysiopathology Department, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
,
F. Placidi Neurophysiopathology Department, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy; Fondazione Santa Lucia, IRCCS Santa Lucia, Rome, Italy
,
F. Izzi Neurophysiopathology Department, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
,
M. G. Marciani Neurophysiopathology Department, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy; Fondazione Santa Lucia, IRCCS Santa Lucia, Rome, Italy
,
R. Floris Radiology Department, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
,
A. Ludovici Radiology Department, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
,
A. Cervellino Neurophysiopathology Department, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
,
F. Torelli Neurophysiopathology Department, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
&
A. Romigi Neurophysiopathology Department, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy; Fondazione Santa Lucia, IRCCS Santa Lucia, Rome, Italy
 show all
Pages 531-537 | Received 11 Feb 2007, Published online: 07 Jul 2009
 
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Abstract

Magnetic Resonance Imaging (MRI) represents the procedure of choice for detection of anatomical lesions in epilepsy. Vascular malformations in central nervous system, such as cavernoma, can cause symptomatic epilepsy. We describe a case of ictal aphasia as manifestation of a partial status epilepticus probably due to a mutual interaction between a recent bleeding cavernoma and a concomitant reduction of antiepileptic treatment in a long-lasting misdiagnosed symptomatic epilepsy. We conclude that MRI is a mandatory diagnostic method to identify structural abnormalities underlying epilepsy in all patients affected by recurrent focal seizures independent of the duration of epilepsy.

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