Int Arch Otorhinolaryngol 2015; 19(04): 302-308
DOI: 10.1055/s-0035-1547524
Original Research
Thieme Publicações Ltda Rio de Janeiro, Brazil

Aspects of Oral Language, Speech, and Written Language in Subjects with Temporal Lobe Epilepsy of Difficult Control

Ana Paula Berberian
1  Masters and Doctorate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
,
Christiane Hopker
1  Masters and Doctorate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
,
Ingrid Mazzarotto
1  Masters and Doctorate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
,
Jenane Cunha
1  Masters and Doctorate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
,
Ana Cristina Guarinello
1  Masters and Doctorate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
,
Giselle Massi
1  Masters and Doctorate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
,
Ana Crippa
2  Department of Neurophysiology, Universidade Federal do Paraná, Curitiba, Brazil
› Author Affiliations
Further Information

Publication History

10 December 2014

26 January 2015

Publication Date:
10 March 2015 (eFirst)

  

Abstract

Introduction About 50 million people have epilepsy and 30% of them have epilepsy that does not respond to properly conducted drug treatment.

Objective Verify the incidence of language disorders in oral language, speech, and written language of subjects with difficult to control temporal lobe epilepsy (TLE) and compare the occurrence of these disorders in subjects before and after surgery.

Methods Cross-sectional study with quantitative analysis, exploratory type. A questionnaire for data collection was administered covering the following aspects: oral language, speech complaints, and writing production and comprehension. Criteria for inclusion of subjects were a diagnosis of TLE refractory to drug treatment and at least 4 years of schooling.

Results The sample of 63 patients with TLE was divided into two groups: presurgical (n = 31) and postsurgical (n = 32). In the postsurgical group, there was a higher frequency of left lobectomy (75%) than right (25%).

Conclusion Statistical analysis was performed with the chi-square test (significance level of 0.05). Complaints related to speech-language attention were more predominant in postsurgical subjects. Analysis of oral language, speech, and written language in subjects with epilepsy who underwent temporal lobectomy or not showed findings consistent with symptoms related to transient aphasia, with the presence of paraphasias, as well as changes in speech prosody and melody. These symptoms appeared more associated with recurrence after having a temporal lobectomy.