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Echolalia–palilalia As The Sole Manifestation Of Nonconvulsive Status Epilepticus

E. Linetsky, D. Planer, T. Ben-Hur
Published 2000 · Medicine

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Echolalia is a pathologic language behavior of contextually inappropriate repetition of verbal stimuli, even in the absence of understanding their meaning.1 This phenomenon has been described in various developmental, neurologic, and psychiatric conditions. In adult neurologic patients, echolalia is most often observed after left hemispheric lesions with dysphasia.1 We describe a unique case of echolalia as the sole manifestation of nonconvulsive status epilepticus. A 65-year-old-woman was brought to the emergency room because she had been repeating words and phrases of others. Medical history included chronic renal failure, hypothyroidism, mild congestive heart failure, and chronic atrial fibrillation. The patient was treated with peritoneal dialysis, l-thyroxine, and digoxin. On initial examination, she was fully conscious and oriented. She did not exhibit any problems with language, abstraction, praxis, calculations, or comprehension but had slight impairment of short-term memory. On neurologic examination, the cranial nerves, visual fields, and motor, sensory, …
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