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NEUROLOGY 2004;62:1637-1638
© 2004 American Academy of Neurology
Brief Communications

Language dysfunction after frontal lobe partial seizures

Hadassa Goldberg-Stern, MD, Nathan Gadoth, MD, William Cahill, MD and Michael Privitera, MD

From the Epilepsy Center (Dr. Goldberg–Stern), Schneider Children’s Medical Center of Israel, Petah Tiqva, Sackler Faculty of Medicine (Drs. Goldberg–Stern and Gadoth), Tel Aviv University, and Department of Neurology (Dr. Gadoth), Meir General Hospital, Kfar Saba, Israel; and Epilepsy Center (Drs. Stern, Cahill, and Privitera), Department of Neurology, University of Cincinnati Medical Center, OH.

Address correspondence and reprint requests to Dr. H. Goldberg–Stern, Epilepsy Center, Schneider Children’s Medical Center of Israel, 14 Kaplan St., Petah Tiqva 49202, Israel; e-mail: sterngoldberg{at}bezeqint.net

Postictal language delay (PILD) patterns can lateralize temporal lobe complex partial seizures (CPS). The authors studied PILD in 24 patients with 118 frontal lobe CPS. Prolonged PILD occurred in only 7% of CPS confined to the dominant frontal lobe compared with 91% of CPS that started as frontal and spread to the dominant temporal lobe (p = 0.0001). Postictal language testing provides important information on frontal CPS localization and spread.

Received June 6, 2003. Accepted in final form January 6, 2004.