Ictal Coprolalia: A Case Report and Review of Ictal Speech as a Localizing Feature in Epilepsy

Pediatric Neurology
Cerin Daniel, M Scott Perry

Abstract

Recognizing ictal semiology is an essential component to localization of seizure onset, especially in intractable epilepsy where surgical therapies may be beneficial. Ictal speech can be a common component of seizure semiology, but the various forms of ictal speech may have different lateralizing and localizing value. Coprolalia is a very rare form of ictal speech. We present a 15 year old with medically intractable seizures characterized by agitation and coprolalia. The patient underwent surgical evaluation including video EEG, MRI, and functional neuroimaging. These studies indicated onset within the dominant frontal lobe which was further localized using stereo-electroencephalography prior to focal cortical resection. Ictal coprolalia is a rare presentation of ictal speech. We review the various forms of ictal speech and their value in localizing seizure onset.

References

Jan 1, 1989·Annals of Neurology·M GabrE Wyllie
Jul 15, 2000·Journal of Neurology, Neurosurgery, and Psychiatry·J JanszkyA Ebner
Dec 17, 2003·Annals of Plastic Surgery·Essem GabrGregory R D Evans
Jan 1, 2014·Epilepsia·Francesca BoniniPatrick Chauvel

❮ Previous
Next ❯

Citations

Oct 14, 2017·Neurocase·Fazlallah AfshangianUNKNOWN BLAS2T (Bilingual Aphasia in Stroke-Study Team)
Oct 28, 2019·Movement Disorders : Official Journal of the Movement Disorder Society·Tina MainkaChristos Ganos
May 31, 2021·Epilepsy & Behavior : E&B·Iris UnterbergerGerhard Bauer

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.

Related Papers

The Journal of Neuropsychiatry and Clinical Neurosciences
Sara PanunziAndrea E Cavanna
Neurología : publicación oficial de la Sociedad Española de Neurología
J L Fernández Torre
© 2022 Meta ULC. All rights reserved