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

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 journal › Article › peer-review

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 language	English
Pages (from-to)	167-171
Number of pages	5
Journal	Brain and Nerve
Volume	69
Issue number	2
Publication status	Published - 2017 Feb

Keywords

Ictal speech
Polymicrogyria
Sleep talking

ASJC Scopus subject areas

Clinical Neurology

Cite this

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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.",

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AU - Suzuki, Takehiro

AU - Kakisakaa, Yosuke

AU - Kitazawaa, Yu

AU - Jin, Kazutaka

AU - Sato, Shiho

AU - Iwasaki, Masaki

AU - Fujikawa, Mayu

AU - Nishioe, Yoshiyuki

AU - Kannon, Akitake

AU - Nakasatoa, Nobukazu

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AB - 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.

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ICTAL speech manifesting as sleep talking: A case report

Abstract

Keywords

ASJC Scopus subject areas

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