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Aspects of Oral Language, Speech, and Written Language in Subjects with Temporal Lobe Epilepsy of Difficult Control

Identifieur interne : 000055 ( Main/Exploration ); précédent : 000054; suivant : 000056

Aspects of Oral Language, Speech, and Written Language in Subjects with Temporal Lobe Epilepsy of Difficult Control

Auteurs : Ana Paula Berberian ; Christiane Hopker ; Ingrid Mazzarotto ; Jenane Cunha ; Ana Cristina Guarinello ; Giselle Massi ; Ana Crippa

Source :

RBID : PMC:4593911

Abstract

Introduction About 50 million people have epilepsy and 30% of them have epilepsy that does not respond to properly conducted drug treatment.

Objective Verify the incidence of language disorders in oral language, speech, and written language of subjects with difficult to control temporal lobe epilepsy (TLE) and compare the occurrence of these disorders in subjects before and after surgery.

Methods Cross-sectional study with quantitative analysis, exploratory type. A questionnaire for data collection was administered covering the following aspects: oral language, speech complaints, and writing production and comprehension. Criteria for inclusion of subjects were a diagnosis of TLE refractory to drug treatment and at least 4 years of schooling.

Results The sample of 63 patients with TLE was divided into two groups: presurgical (n = 31) and postsurgical (n = 32). In the postsurgical group, there was a higher frequency of left lobectomy (75%) than right (25%).

Conclusion Statistical analysis was performed with the chi-square test (significance level of 0.05). Complaints related to speech-language attention were more predominant in postsurgical subjects. Analysis of oral language, speech, and written language in subjects with epilepsy who underwent temporal lobectomy or not showed findings consistent with symptoms related to transient aphasia, with the presence of paraphasias, as well as changes in speech prosody and melody. These symptoms appeared more associated with recurrence after having a temporal lobectomy.


Url:
DOI: 10.1055/s-0035-1547524
PubMed: 26491475
PubMed Central: 4593911


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<bold>Introduction</bold>
 About 50 million people have epilepsy and 30% of them have epilepsy that does not respond to properly conducted drug treatment.</p>
<p>
<bold>Objective</bold>
 Verify the incidence of language disorders in oral language, speech, and written language of subjects with difficult to control temporal lobe epilepsy (TLE) and compare the occurrence of these disorders in subjects before and after surgery.</p>
<p>
<bold>Methods</bold>
 Cross-sectional study with quantitative analysis, exploratory type. A questionnaire for data collection was administered covering the following aspects: oral language, speech complaints, and writing production and comprehension. Criteria for inclusion of subjects were a diagnosis of TLE refractory to drug treatment and at least 4 years of schooling.</p>
<p>
<bold>Results</bold>
 The sample of 63 patients with TLE was divided into two groups: presurgical (
<italic>n</italic>
 = 31) and postsurgical (
<italic>n</italic>
 = 32). In the postsurgical group, there was a higher frequency of left lobectomy (75%) than right (25%).</p>
<p>
<bold>Conclusion</bold>
 Statistical analysis was performed with the chi-square test (significance level of 0.05). Complaints related to speech-language attention were more predominant in postsurgical subjects. Analysis of oral language, speech, and written language in subjects with epilepsy who underwent temporal lobectomy or not showed findings consistent with symptoms related to transient aphasia, with the presence of paraphasias, as well as changes in speech prosody and melody. These symptoms appeared more associated with recurrence after having a temporal lobectomy.</p>
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<name sortKey="Cunha, Jenane" sort="Cunha, Jenane" uniqKey="Cunha J" first="Jenane" last="Cunha">Jenane Cunha</name>
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<name sortKey="Hopker, Christiane" sort="Hopker, Christiane" uniqKey="Hopker C" first="Christiane" last="Hopker">Christiane Hopker</name>
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<name sortKey="Mazzarotto, Ingrid" sort="Mazzarotto, Ingrid" uniqKey="Mazzarotto I" first="Ingrid" last="Mazzarotto">Ingrid Mazzarotto</name>
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