ICTAL speech manifesting as sleep talking: A case report

Takehiro Suzuki, Yosuke Kakisakaa, Yu Kitazawaa, Kazutaka Jin, Shiho Sato, Masaki Iwasaki, Mayu Fujikawa, Yoshiyuki Nishioe, Akitake Kannon, Nobukazu Nakasatoa

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish
Pages (from-to)167-171
Number of pages5
JournalBrain and Nerve
Volume69
Issue number2
Publication statusPublished - 2017 Feb

Keywords

  • Ictal speech
  • Polymicrogyria
  • Sleep talking

ASJC Scopus subject areas

  • Clinical Neurology

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  • Cite this

    Suzuki, T., Kakisakaa, Y., Kitazawaa, Y., Jin, K., Sato, S., Iwasaki, M., Fujikawa, M., Nishioe, Y., Kannon, A., & Nakasatoa, N. (2017). ICTAL speech manifesting as sleep talking: A case report. Brain and Nerve, 69(2), 167-171.