Two foreign language automatisms in complex partial seizures.

Hulusi Kececi,Hatice Gumus,Yildiz Degirmenci

doi:10.1016/j.ebcr.2012.10.005

Abstract

Ictal speech manifestations with or without loss of consciousness can frequently occur in TLE in which sometimes the patient may remain responsive, even in conjunction with automatisms. Foreign language ictal speech automatism (FLISA) is a rare ictal sign in temporal lobe epilepsy arising from the non-dominant hemisphere. While our literature review revealed no report of CPSs with two foreign language ictal speech automatisms, we here represented a rare case of a Turkish woman with TLE experiencing two foreign language ictal speech automatisms.

Highlights

While our literature review revealed no report of complex partial seizures (CPSs) with two foreign language ictal speech automatisms, we present a rare case of a Turkish woman with Temporal lobe epilepsy (TLE) experiencing two foreign language ictal speech automatisms
Ictal speech automatisms are usually uttered in the patient's native language, but rare cases of second language ictal speech production have been reported [5,6,7,8]
Differing from a previous report suggesting that foreign language ictal speech automatisms are more likely to occur in men [8], we observed this seizure pattern in a teenage girl

Summary

Introduction

Ictal speech manifestations with or without loss of consciousness can frequently occur in TLE in which sometimes the patient may remain responsive, even in conjunction with automatisms. Verbal automatisms may be repetitive or non-repetitive but when present, usually occur in the patient's native language, highly suggestive of non-dominant hemisphere involvement [3]. Foreign language ictal speech automatism (FLISA) is a rare ictal sign in temporal lobe epilepsy arising from the non-dominant hemisphere [1].

Results

Conclusion