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내측 측두엽 간질에서 간질발작 중 언어 증상

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Affiliated Author(s)
이형임정근이상도박영춘김지언손은익
Alternative Author(s)
Lee, HyungLim, Jeong GeunYi, Sang DoPark, Young ChunKim, Ji EunSon, Eun Ik
Journal Title
Keimyung Medical Journal
Issued Date
2000
Keyword
Speech manifestationsTLELateralizing valueLocalizing value
Abstract
Background and Objectives : Several speech manifestation are observed in temporal lobe epilepsy(TLE). We studied the frequency of ictal speech manifestations and their localizing and lateralizing value in TLE. Methods : We reviewed 379 seizures recorded on videotape in 135 patients who underwent temporal lobectomy for intractable TLE. We divided patients into group A(n=75) who became seizures free after surgery, and group B(n=60) who were only slightly benefited or unchanged after surgery. Speech manifestations were classified as normal speech, vocalization, or abnormal speech. Abnormal speech was subdivided into speech arrest, dysarthria, dysphasia, or nonidentifiable speech. Results : Speech manifestations occurred in 70(18.5%) seizures of 28 patients. Forty eight seizures of 20 patients were observed in group A, and 22 seizures of 8 patients were observed in group B. In group A, 25 seizures of 11 patients were originating from dominant hemisphere, 23 seizures of 9 patients from nondominant hemisphere. In group B, 13 seizures of 5 patients were originating from dominant hemisphere, and 9 seizures in Lt. side and 6 seizures in Rt. side, respectively) of group A(P>0.05), and eleven seizures of 4 patients(8 seizures from Lt. side and 3 seizure from Rt. side) in group B(P>0.05). Normal speech was observed only seizures from Rt. side in both groups(3 seizures in 1 patient, each group). Dysphasia occurred only in seizures originating from Lt. side. Nonidentifiable speech occurred in 22 seizures of 9 patients(11 seizures from each side) in group A(P<0.01), and 3 seizures of 1 patient occurred only from Lt. side in group B. Conclusion : Ictal speech manifestations were not uncommon(18.5%). All kinds of ictal speech manifestations except normal speech have no reliable lateralizing and localizing value in TLE. Normal speech could be a good indicator of seizure originating from nondominant hemisphere.
Alternative Title
ctal Speech
Manifestations on Mesial Temporal Lobe Epilepsy
Department
Dept. of Neurology (신경과학)
Dept. of Neurosurgery (신경외과학)
Publisher
Keimyung University School of Medicine
Citation
이장준 et al. (2000). 내측 측두엽 간질에서 간질발작 중 언어 증상. Keimyung Medical Journal, 19(1), 121–128.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15191
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2000
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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