A case of acquired epileptic aphasia presenting as language delay and hyperactivity is presented and clinical aspects reviewed. Acquired epileptic aphasia is a diffuse neurologic process of unknown etiology that presents in preschool children. Although progressive language loss and seizures are the major manifestations, deficits in attention and socialization may be noted. The electroencephalogram is usually diagnostic. While almost all (80%) children develop seizures, approximately half present as language delay without seizures. Recognition of the progressive and global nature of the language dysfunction may permit earlier diagnosis and intervention.
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References
1.
Ludlow CLChildren's language disorders: Recent research advances. Ann Neurol1980;7:497.
2.
Accardo P., Capute A. ThePediatrician and the Developmentally Delayed Child: A Clinical Textbook on Mental Retardation. Baltimore: University Park Press, 1979, pp 146-51.
3.
Lou HCDevelopmental Neurology. New York: Raven Press, 1982, pp 210-2.
4.
Adams R., Lyon G.Neurology of Hereditary Metabolic Diseases in Childhood. New York: McGraw-Hill, 1976, p 377.
5.
Landau WM, Kleffner FRSyndrome of acquired aphasia with convulive disorder in children. Neurol1957;7:523.
6.
Rodriquez I. , Niedermeyer E.The aphasia-epilepsy syndrome in children: electroencephalographic aspects. Clinical Electroencephalography1982;13:23.
7.
Mantovani JF , Landau WMAcquired aphasia with convulsive disorder: Course and prognosis. Neurology1980;30:524.
8.
Shoumaker RD , Bennett D., Bray P., et al. Clinical and EEG manifestations of an unusual aphasic syndrome in children. Neurol1974;24:10.
9.
Gascon G., Victor D., Lombroso CTLanguage disorder, convulsive disorder, and electroencephalographic abnormalities: acquired syndrome in children. Arch Neurol1973;28: 156.
10.
Deuel R., Lenn N.Treatment of acquired epileptic aphasia. J Ped1975;90:959.
11.
Holmes GL, McKeever M., Sunders Z.Epileptiform activity in aphasia of childhood: an epiphenomenon. Epilepsia1981;22:631.
12.
Cooper JA, Ferry PCAcquired auditory verbal agnosia and seizures in childhood. J Speech and Hearing Disorders1978;XLIII:176.
13.
Rapin I., Mattis S., Rowan AJ, et al. Verbal auditory agnosia in children. Dev Med Child Neurol1977; 19:192.
14.
Lou H., Brandt S., Bruhn P.Progressive aphasia and epilepsy with a self-limited course. In: Penry JK, ed. Epilepsy: The Eighth International Symposium. New York: Raven Press , 1977, pp 295-306.
15.
Capute A., Accardo P.Linguistic and auditory milestones during the first two years of life: a language inventory for the practicioner. Clin Pediatr1978; 17:847.
