Abstract
Patients with aphasic fits were examined clinically. They were selected from five hundreds and sixty-three ambulatory patients with simple partial seizures. The aphasic fits consisted of twenty-four impairments of verbal comprehension, twenty-five impairments of verbal expression, five difficulties of finding words, four paraphasias, and two alexias.
In order to elucidate clinical features of patients with aphasic fits, we compared cases of dreamy states without aphasic fits (DR group) with cases of aphasic fits without dreamy states (AP group). As a result, the following points were statistically confirmed : AP group had a higher rate of frontal EEG foci : lower rate of complex partial seizure ; higher rate of partial motor seizure ; lower rate of complex visual auras and anxiety auras. From these findings, we proposed that aphasic fits are more closely related to neocortex, although patients with aphasic fits as well as dreamy states showed temporal EEG foci in most cases.
