Abstract
The role of speech manifestations in the lateralization of temporal lobe seizures was reviewed at the Section of Epilepsy and Clinical Neurophysiology, Department of Neurology, Cleveland Clinic Foundation, Cleveland, OH by the review of videotapes of 100 complex seizures in 35 patients who underwent temporal lobectomy for intractable epilepsy.
Highlights
Neurophysiology, Department of Neurology, Cleveland Clinic Foundation, Cleveland, CH by the review of videotapes of 100 complex seizures in 35 patients who underwent temporal lobectomy for intractable epilepsy
Speech manifestations were classified as vocalization, normal speech, or abnoimal speech
Postictal dysphasia and ictal identifiable speech had significant lateralizing value: 92% of patients with postictal dysphasia had their seizures originating from the dominant tenporal lobe, and 83% of those with ictal identifiable speech had seizures localized to the nondcminant side
Summary
The early language milestones scale (EIM) has been found a reliable tool to base referral of a child showing evidence of language delay when the test is applied between 25-36 months of age. Neurophysiology, Department of Neurology, Cleveland Clinic Foundation, Cleveland, CH by the review of videotapes of 100 complex seizures in 35 patients who underwent temporal lobectomy for intractable epilepsy. Vocalizations of sound without speech quality occurred during the seizure in 48.5% of patients.
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