Symptomatic epilepsy with facial myoclonus triggered by language
ABSTRACT We report on a patient with a left frontal lesion who, many years after an injury, developed non‐fluent aphasia and facial myoclonic jerks triggered by speaking and listening to spoken language. At age 57, the patient first noted that he would begin to stutter when delivering lectures at co...
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description | ABSTRACT
We report on a patient with a left frontal lesion who, many years after an injury, developed non‐fluent aphasia and facial myoclonic jerks triggered by speaking and listening to spoken language.
At age 57, the patient first noted that he would begin to stutter when delivering lectures at conferences. The stuttering would worsen if he continued talking. The video‐polygraphic EEG recording shows brief paroxysms of spikes and polyspikes, followed by a slow wave, more evident in the left fronto‐temporal region. The myoclonic jerks originating from the submental area correlate with EEG abnormalities. Clinically, these jerks determined a form of stuttering. The triggering factors were reading, speaking and listening to spoken language.
This case had several characteristic features: facial myoclonus was the only seizure type experienced by the patient; the seizures and language impairment had a very late onset – about 50 years after the traumatic event that produced a dramatic lesion in the left fronto‐polar region. (Published with videosequences.)
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doi_str_mv | 10.1684/j.1950-6945.2001.tb00385.x |
format | Article |
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We report on a patient with a left frontal lesion who, many years after an injury, developed non‐fluent aphasia and facial myoclonic jerks triggered by speaking and listening to spoken language.
At age 57, the patient first noted that he would begin to stutter when delivering lectures at conferences. The stuttering would worsen if he continued talking. The video‐polygraphic EEG recording shows brief paroxysms of spikes and polyspikes, followed by a slow wave, more evident in the left fronto‐temporal region. The myoclonic jerks originating from the submental area correlate with EEG abnormalities. Clinically, these jerks determined a form of stuttering. The triggering factors were reading, speaking and listening to spoken language.
This case had several characteristic features: facial myoclonus was the only seizure type experienced by the patient; the seizures and language impairment had a very late onset – about 50 years after the traumatic event that produced a dramatic lesion in the left fronto‐polar region. (Published with videosequences.)
Content available: Video</description><identifier>ISSN: 1294-9361</identifier><identifier>EISSN: 1950-6945</identifier><identifier>DOI: 10.1684/j.1950-6945.2001.tb00385.x</identifier><identifier>PMID: 11679306</identifier><language>eng</language><publisher>Montrouge: Libbey Eurotext</publisher><subject>Aphasia, Broca - diagnosis ; Aphasia, Broca - physiopathology ; Biological and medical sciences ; Dominance, Cerebral - physiology ; Electroencephalography ; Epilepsies, Myoclonic - diagnosis ; Epilepsies, Myoclonic - physiopathology ; epilepsy ; Epilepsy, Post-Traumatic - diagnosis ; Epilepsy, Post-Traumatic - physiopathology ; Epilepsy, Reflex - diagnosis ; Epilepsy, Reflex - physiopathology ; Evoked Potentials - physiology ; Facial Muscles - innervation ; Frontal Lobe - injuries ; Frontal Lobe - physiopathology ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; language‐induced seizures ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; reflex epilepsy ; seizures ; Speech Perception - physiology ; Stuttering - diagnosis ; Stuttering - physiopathology ; Verbal Behavior - physiology</subject><ispartof>Epileptic disorders, 2001-09, Vol.3 (3), p.143-146</ispartof><rights>2001 International League Against Epilepsy</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4040-4972430432b7069b03d5aad52ba5946c42084d2e3a9115f5c935398de4de558c3</citedby><cites>FETCH-LOGICAL-c4040-4972430432b7069b03d5aad52ba5946c42084d2e3a9115f5c935398de4de558c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1121021$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11679306$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Canevini, Maria Paola</creatorcontrib><creatorcontrib>Vignoli, Aglaia</creatorcontrib><creatorcontrib>Sgro, Vincenzo</creatorcontrib><creatorcontrib>Zambrelli, Elena</creatorcontrib><creatorcontrib>Piazzini, Ada</creatorcontrib><creatorcontrib>Colombo, Nadia</creatorcontrib><creatorcontrib>Canger, Raffaele</creatorcontrib><title>Symptomatic epilepsy with facial myoclonus triggered by language</title><title>Epileptic disorders</title><addtitle>Epileptic Disord</addtitle><description>ABSTRACT
We report on a patient with a left frontal lesion who, many years after an injury, developed non‐fluent aphasia and facial myoclonic jerks triggered by speaking and listening to spoken language.
At age 57, the patient first noted that he would begin to stutter when delivering lectures at conferences. The stuttering would worsen if he continued talking. The video‐polygraphic EEG recording shows brief paroxysms of spikes and polyspikes, followed by a slow wave, more evident in the left fronto‐temporal region. The myoclonic jerks originating from the submental area correlate with EEG abnormalities. Clinically, these jerks determined a form of stuttering. The triggering factors were reading, speaking and listening to spoken language.
This case had several characteristic features: facial myoclonus was the only seizure type experienced by the patient; the seizures and language impairment had a very late onset – about 50 years after the traumatic event that produced a dramatic lesion in the left fronto‐polar region. (Published with videosequences.)
Content available: Video</description><subject>Aphasia, Broca - diagnosis</subject><subject>Aphasia, Broca - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Dominance, Cerebral - physiology</subject><subject>Electroencephalography</subject><subject>Epilepsies, Myoclonic - diagnosis</subject><subject>Epilepsies, Myoclonic - physiopathology</subject><subject>epilepsy</subject><subject>Epilepsy, Post-Traumatic - diagnosis</subject><subject>Epilepsy, Post-Traumatic - physiopathology</subject><subject>Epilepsy, Reflex - diagnosis</subject><subject>Epilepsy, Reflex - physiopathology</subject><subject>Evoked Potentials - physiology</subject><subject>Facial Muscles - innervation</subject><subject>Frontal Lobe - injuries</subject><subject>Frontal Lobe - physiopathology</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>language‐induced seizures</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>reflex epilepsy</subject><subject>seizures</subject><subject>Speech Perception - physiology</subject><subject>Stuttering - diagnosis</subject><subject>Stuttering - physiopathology</subject><subject>Verbal Behavior - physiology</subject><issn>1294-9361</issn><issn>1950-6945</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkE1Pg0AQhjdGY2v1LxhijDdw9gtYT2pt1aSJJup5sywL0kBBFtLy74WUqFdPM8k8M_PmQegCg4f9kF2vPSw4uL5g3CMA2GsiABpyb3eApj-jw74ngrmC-niCTqxdA5B-iI_RBGM_EBT8Kbp964qqKQvVZNoxVZabynbONms-nUTpTOVO0ZU6LzetdZo6S1NTm9iJOidXm7RVqTlFR4nKrTkb6wx9LBfv8yd39fL4PL9buZoBA5eJgDAKjJIoAF9EQGOuVMxJpLhgvmYEQhYTQ5XAmCdcC8qpCGPDYsN5qOkMXe3vVnX51RrbyCKz2uR9DlO2VgaEkFAQ3oM3e1DXpbW1SWRVZ4WqO4lBDv7kWg6S5CBJDv7k6E_u-uXz8UsbFSb-XR2F9cDlCCirVZ7UaqMz-4cjGAjusfke2_ZGu38kkIvXB3K_BPBDoN9tJY0R</recordid><startdate>200109</startdate><enddate>200109</enddate><creator>Canevini, Maria Paola</creator><creator>Vignoli, Aglaia</creator><creator>Sgro, Vincenzo</creator><creator>Zambrelli, Elena</creator><creator>Piazzini, Ada</creator><creator>Colombo, Nadia</creator><creator>Canger, Raffaele</creator><general>Libbey Eurotext</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200109</creationdate><title>Symptomatic epilepsy with facial myoclonus triggered by language</title><author>Canevini, Maria Paola ; Vignoli, Aglaia ; Sgro, Vincenzo ; Zambrelli, Elena ; Piazzini, Ada ; Colombo, Nadia ; Canger, Raffaele</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4040-4972430432b7069b03d5aad52ba5946c42084d2e3a9115f5c935398de4de558c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aphasia, Broca - diagnosis</topic><topic>Aphasia, Broca - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Dominance, Cerebral - physiology</topic><topic>Electroencephalography</topic><topic>Epilepsies, Myoclonic - diagnosis</topic><topic>Epilepsies, Myoclonic - physiopathology</topic><topic>epilepsy</topic><topic>Epilepsy, Post-Traumatic - diagnosis</topic><topic>Epilepsy, Post-Traumatic - physiopathology</topic><topic>Epilepsy, Reflex - diagnosis</topic><topic>Epilepsy, Reflex - physiopathology</topic><topic>Evoked Potentials - physiology</topic><topic>Facial Muscles - innervation</topic><topic>Frontal Lobe - injuries</topic><topic>Frontal Lobe - physiopathology</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>language‐induced seizures</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>reflex epilepsy</topic><topic>seizures</topic><topic>Speech Perception - physiology</topic><topic>Stuttering - diagnosis</topic><topic>Stuttering - physiopathology</topic><topic>Verbal Behavior - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Canevini, Maria Paola</creatorcontrib><creatorcontrib>Vignoli, Aglaia</creatorcontrib><creatorcontrib>Sgro, Vincenzo</creatorcontrib><creatorcontrib>Zambrelli, Elena</creatorcontrib><creatorcontrib>Piazzini, Ada</creatorcontrib><creatorcontrib>Colombo, Nadia</creatorcontrib><creatorcontrib>Canger, Raffaele</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Epileptic disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Canevini, Maria Paola</au><au>Vignoli, Aglaia</au><au>Sgro, Vincenzo</au><au>Zambrelli, Elena</au><au>Piazzini, Ada</au><au>Colombo, Nadia</au><au>Canger, Raffaele</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Symptomatic epilepsy with facial myoclonus triggered by language</atitle><jtitle>Epileptic disorders</jtitle><addtitle>Epileptic Disord</addtitle><date>2001-09</date><risdate>2001</risdate><volume>3</volume><issue>3</issue><spage>143</spage><epage>146</epage><pages>143-146</pages><issn>1294-9361</issn><eissn>1950-6945</eissn><abstract>ABSTRACT
We report on a patient with a left frontal lesion who, many years after an injury, developed non‐fluent aphasia and facial myoclonic jerks triggered by speaking and listening to spoken language.
At age 57, the patient first noted that he would begin to stutter when delivering lectures at conferences. The stuttering would worsen if he continued talking. The video‐polygraphic EEG recording shows brief paroxysms of spikes and polyspikes, followed by a slow wave, more evident in the left fronto‐temporal region. The myoclonic jerks originating from the submental area correlate with EEG abnormalities. Clinically, these jerks determined a form of stuttering. The triggering factors were reading, speaking and listening to spoken language.
This case had several characteristic features: facial myoclonus was the only seizure type experienced by the patient; the seizures and language impairment had a very late onset – about 50 years after the traumatic event that produced a dramatic lesion in the left fronto‐polar region. (Published with videosequences.)
Content available: Video</abstract><cop>Montrouge</cop><pub>Libbey Eurotext</pub><pmid>11679306</pmid><doi>10.1684/j.1950-6945.2001.tb00385.x</doi><tpages>4</tpages></addata></record> |
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subjects | Aphasia, Broca - diagnosis Aphasia, Broca - physiopathology Biological and medical sciences Dominance, Cerebral - physiology Electroencephalography Epilepsies, Myoclonic - diagnosis Epilepsies, Myoclonic - physiopathology epilepsy Epilepsy, Post-Traumatic - diagnosis Epilepsy, Post-Traumatic - physiopathology Epilepsy, Reflex - diagnosis Epilepsy, Reflex - physiopathology Evoked Potentials - physiology Facial Muscles - innervation Frontal Lobe - injuries Frontal Lobe - physiopathology Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans language‐induced seizures Magnetic Resonance Imaging Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurology reflex epilepsy seizures Speech Perception - physiology Stuttering - diagnosis Stuttering - physiopathology Verbal Behavior - physiology |
title | Symptomatic epilepsy with facial myoclonus triggered by language |
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