Landau-Kleffner syndrome. EEG topographic studies

Brain Dev. 1989;11(1):43-50. doi: 10.1016/s0387-7604(89)80008-7.

Abstract

Spectral and historical topographic mapping of EEG was done on 2 siblings with Landau-Kleffner syndrome. The clinical features of the elder sister were acquired aphasia developed at the age of 5, followed by convulsions a year later, and those of the younger brother were progressive ataxia, hemiparesis, urinary incontinence and convulsions at the age of 4 years and 10 months, followed by acquired aphasia a year later. The most prominent spectral mapping features were high spectral powers of delta, theta and alpha waves over the fronto-centro-parietal area. The power of alpha and beta wave bands, reflecting sharp or spike waves, varied spatio-temporally over the central, parietal, temporal and frontal areas. The historical mapping revealed variabilities of paroxysmal discharges in modes of propagation. These results suggested that electrophysiological dysfunction of the fronto-centro-parietal areas associated with markedly unstable paroxysmal discharges is the main feature of Landau-Kleffner syndrome.

Publication types

  • Case Reports

MeSH terms

  • Aphasia / diagnosis*
  • Aphasia / genetics
  • Ataxia / diagnosis
  • Brain / physiopathology
  • Brain Mapping
  • Child
  • Electroencephalography*
  • Female
  • Humans
  • Male
  • Seizures / diagnosis*
  • Seizures / genetics
  • Syndrome