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Case Report
Dementia and Neurocognitive Disorders 2010: 9: 2: 60-63

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베르니케 실어증을 보인 측두엽 간질 1예
강경욱∙김병채∙최강호∙송호천*∙민정준*∙최성민∙강승호∙이승한∙박만석∙김명규∙조기현
전남대학교 의과대학 신경과학교실 핵의학교실*
A Case of Temporal Lobe Epilepsy Presenting Wernicke’s Aphasia
Departments of Neurology and Nuclear Medicine*, Chonnam National University Medical School, Gwangju, Korea
Kyung-Wook Kang, M.D., Byeong C. Kim, M.D., Kang-Ho Choi, M.D., Ho-Chun Song, M.D.*, Jung-Joon Min, M.D.*, Seong-Min Choi, M.D., Seung-Ho Kang, M.D., Seung-Han Lee, M.D., Man-Seok Park, M.D., Myeong-Kyu Kim, M.D., Ki-Hyun Cho, M.D.
Wernicke’s aphasia is a language disorder that impacts the comprehension of written and spoken language. A 48-yr-old woman had developed a transient sensory aphasia without focal neurological deficit. Brain MRI showed no structural lesion, but 18F-Fluorodeoxyglucose (FDG) positron emission tomography (PET) demonstrated glucose hypermetabolic activity in the left medial and superior temporal gyri, and middle frontal gyrus. Electroencephalogram (EEG) revealed spike discharges from the same area. We report a case of Wernicke’s aphasia as an ictal phenomenon of temporal lobe epilepsy.
Key Words: Wernicke’s aphasia, Ictal phenomenon, 18F-FDG PET