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Revista de Neuro-Psiquiatría

Print version ISSN 0034-8597

Abstract

SAQUISELA, Víctor V.  and  BARRETO, Elliot. Paroxysmal Aphasia: Focal epilepsy due to cerebral cysticercosis, a case report.. Rev Neuropsiquiatr [online]. 2015, vol.78, n.3, pp.159-164. ISSN 0034-8597.

We report a case of a 63-year old male patient; living in Juliaca, who was admitted with symptoms of paroxysmal episodes of transient aphasia lasting 2 minutes of associated with headache but without consciousness disturbances. He did not have history of epilepsy or other past medical history. Physical examination revealed transient semantic and literal paraphasias of 1 to 2 minutes of duration. The findings on computerized tomography (CT) and magnetic resonance imaging(MRI) of the brain disclosed multiple confluent cysts in clusters in the left sylvian fissure and vesicular perisylvian intraparenchymal cysts; all of which were definitive for the diagnosis. Highlighting the atypical presentation, this case of mixed neurocysticercosis was manifested as focal seizures characterized by paroxysmal aphasia. A brief literature review is presented.

Keywords : Paroxysmal aphasia; cysticercosis; epilepsy.

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