Frontiers in neurology · 2026
Ictal fear of death with preserved context dependent speech and postictal amnesia in focal epilepsy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Saouda Christopher, Kassem-Scott Yasmeen, El Hallak Elham, Hareesh Prarthana, Vinarsky Victoria, Eid Alexandra, Makke Yamane, Koubeissi Mohamad Zakaria
Аннотация
INTRODUCTION: Seizure semiology reflects dynamic interactions among ictal activity, internal state, and environmental context, and often involves distributed neural networks beyond the epileptogenic focus.
METHODS: We report a 27-year-old right-handed, blind, bilingual man with focal epilepsy whose seizures were characterized by intense fear of imminent death, loud and coherent vocalizations, context-dependent bilingual language use, accurate autobiographical references, preserved responsiveness, and complete postictal amnesia.
RESULTS: During seizures, the patient consistently addressed his mother in Urdu or English while speaking exclusively in English to medical staff, demonstrating preserved pragmatic awareness; nevertheless, he had no recollection of events afterward and expressed surprise when he heard his ictal vocalizations on the recorded video. Brain MRI revealed a left middle cranial fossa arachnoid cyst abutting the medial temporal lobe and ictal onset was in the right anterior temporal region.
DISCUSSION: This case expands the spectrum of ictal fear and ictal speech by illustrating the convergence of multilingual communication, autobiographical integration, and pure postictal amnesia, highlighting the engagement of distributed limbic, interoceptive, and medial frontal networks.
METHODS: We report a 27-year-old right-handed, blind, bilingual man with focal epilepsy whose seizures were characterized by intense fear of imminent death, loud and coherent vocalizations, context-dependent bilingual language use, accurate autobiographical references, preserved responsiveness, and complete postictal amnesia.
RESULTS: During seizures, the patient consistently addressed his mother in Urdu or English while speaking exclusively in English to medical staff, demonstrating preserved pragmatic awareness; nevertheless, he had no recollection of events afterward and expressed surprise when he heard his ictal vocalizations on the recorded video. Brain MRI revealed a left middle cranial fossa arachnoid cyst abutting the medial temporal lobe and ictal onset was in the right anterior temporal region.
DISCUSSION: This case expands the spectrum of ictal fear and ictal speech by illustrating the convergence of multilingual communication, autobiographical integration, and pure postictal amnesia, highlighting the engagement of distributed limbic, interoceptive, and medial frontal networks.