Ictal Speech Manifesting as Sleep Talking: A Case Report
Ictal Speech Manifesting as Sleep Talking: A Case Report
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发作性言语表现为梦话：病例报告
DOI：
10.11477/mf.1416200657
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Nakasato N.
中科院分区：
文献类型：
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作者：
Suzuki T;Kakisaka Y;Kitazawa Y;Jin K;Sato S;Iwasaki M;Fujikawa M;Nishio Y;Kanno A;Nakasato N.
我们报告一位28岁的女性病患，她在19岁时就开始罹患癫痫。MRI显示右侧外侧裂周多小脑回。她表现出各种癫痫发作症状，如涉及左腿的躯体感觉先兆、认知障碍性癫痫发作和遗忘性癫痫发作。她的母亲指出，患者有时会出现“梦话”，这与第二天癫痫发作有关。长期视频脑电图（EEG）显示，她的“梦话”发作是癫痫事件，特别是发作性言语，起源于右半球。目前的情况下，证明了考虑的重要性”梦话”作为癫痫症状。仔细记录病史是将可能存在病理性”梦话”的患者纳入长期视频脑电图的基础，有助于正确诊断和治疗。（接收日期：2016年8月16日;接受日期：2016年9月9日;发布日期：2017年2月1日）。
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.(Received August 16, 2016; Accepted September 9, 2016; Published February 1, 2017).