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To the Editor.—
I read with interest the article by Rany et al, entitled "Epileptic Aphasia" (Archives 1980;37:419-422), since I have studied several cases of epileptic aphasia similar to those described.I certainly concur that at times the diagnostic dilemma with regard to a small left hemispheric infarct vs an epileptogenic lesion is quite difficult. I have had recent experience in using a 24-hour ambulatory EEG, which demonstrated conclusively in a similar case that aphasia was of epileptic rather than ischemic origin. The initial EEG showed left temporal slowing, but did not reveal evidence of paroxysmal activity.The 24-hour EEG monitoring can play a valuable role in this situation.
Vollbracht R. Epileptic Aphasia. Arch Neurol. 1980;37(12):787. doi:10.1001/archneur.1980.00500610067017
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