Can temporal lobe seizures cause apraxia of speech

Posted by merrychristmas @merrychristmas, Feb 12 10:34am

I have temporal lobe seizures controlled by meds . I was wondering if could cause apraxia of speech ?

Interested in more discussions like this? Go to the Epilepsy & Seizures Support Group.

Profile picture for absentsenior @absentsenior

Lamictal caused the same vocal issue with me but it also caused blepharospams. I got off of it for that reason. Vocal hasn't recovered but eyes are much better. Vocal is a common side affects. Eyes are rare but happen

Jump to this post

@absentsenior can you explain the vocal issues you were having? What medication were you switched to?

REPLY

I developed what feels like a stutter but it starts deep in my throat. It isn't an issue with my mouth or tongue. It's worse when I'm tired or stressed and my speech therapist can't do much about it. I've tried a lot of different medications but have had issues with them. That is why I am having the RNS device implanted on Monday.

REPLY
Profile picture for Chris Gautier, Volunteer Mentor @santosha

Hi @merrychristmas !
I don't think we've connected yet—it's nice to meet you!
I also have temporal lobe epilepsy. From my own experience, I only have difficulty speaking during a seizure and in the post-ictal phase.
Are you experiencing apraxia of speech all the time or only at certain times? I understand you are currently completely seizure-free. Is that right?
And if you're comfortable sharing, what medications are you currently taking?
Looking forward to hearing from you!
Chris

Jump to this post

@santosha So i could be having a lot of seizures is why my head hurts and i stutter?

REPLY
Profile picture for larry68 @larry68

@santosha So i could be having a lot of seizures is why my head hurts and i stutter?

Jump to this post

Hi @larry68
After a focal impaired awareness seizure (also known as a complex partial seizure), I also experience headaches and loss of speech, and once I do regain the ability to speak, I stutter. How long does that last? It really depends on the intensity of the seizure, but it can take up to an hour before I can speak again without stuttering.
As the Epilepsy Foundation notes in its page on Temporal Lobe Epilepsy: "Some people also speak gibberish or lose their ability to speak in a sensible manner. Language problems are more common if the seizures are coming from the dominant temporal lobe."
Knowing that a headache and speech difficulties will follow, I no longer fight it or push myself to recover quickly. Instead, I go to bed and rest — that's the best medicine for me after this type of seizure.
I'm sharing a couple of links that might be helpful:
Seizures & Headaches - Epilepsy Foundation
https://www.epilepsy.com/stories/seizures-and-headaches-they-dont-have-go-together
Temporal Lobe Epilepsy - Epilepsy Foundation
https://www.epilepsy.com/what-is-epilepsy/syndromes/temporal-lobe-epilepsy
How have you been managing these symptoms when they come up?
Chris

REPLY
Profile picture for Chris Gautier, Volunteer Mentor @santosha

Hi @larry68
After a focal impaired awareness seizure (also known as a complex partial seizure), I also experience headaches and loss of speech, and once I do regain the ability to speak, I stutter. How long does that last? It really depends on the intensity of the seizure, but it can take up to an hour before I can speak again without stuttering.
As the Epilepsy Foundation notes in its page on Temporal Lobe Epilepsy: "Some people also speak gibberish or lose their ability to speak in a sensible manner. Language problems are more common if the seizures are coming from the dominant temporal lobe."
Knowing that a headache and speech difficulties will follow, I no longer fight it or push myself to recover quickly. Instead, I go to bed and rest — that's the best medicine for me after this type of seizure.
I'm sharing a couple of links that might be helpful:
Seizures & Headaches - Epilepsy Foundation
https://www.epilepsy.com/stories/seizures-and-headaches-they-dont-have-go-together
Temporal Lobe Epilepsy - Epilepsy Foundation
https://www.epilepsy.com/what-is-epilepsy/syndromes/temporal-lobe-epilepsy
How have you been managing these symptoms when they come up?
Chris

Jump to this post

@santosha I only had 1 headache in the last year.My head hurts,not the same as headache and the stuttering varies in length.The stuttering has lasted all day before several times.There is nothing to take for it that helps?

REPLY
Profile picture for Chris Gautier, Volunteer Mentor @santosha

Hi @larry68
After a focal impaired awareness seizure (also known as a complex partial seizure), I also experience headaches and loss of speech, and once I do regain the ability to speak, I stutter. How long does that last? It really depends on the intensity of the seizure, but it can take up to an hour before I can speak again without stuttering.
As the Epilepsy Foundation notes in its page on Temporal Lobe Epilepsy: "Some people also speak gibberish or lose their ability to speak in a sensible manner. Language problems are more common if the seizures are coming from the dominant temporal lobe."
Knowing that a headache and speech difficulties will follow, I no longer fight it or push myself to recover quickly. Instead, I go to bed and rest — that's the best medicine for me after this type of seizure.
I'm sharing a couple of links that might be helpful:
Seizures & Headaches - Epilepsy Foundation
https://www.epilepsy.com/stories/seizures-and-headaches-they-dont-have-go-together
Temporal Lobe Epilepsy - Epilepsy Foundation
https://www.epilepsy.com/what-is-epilepsy/syndromes/temporal-lobe-epilepsy
How have you been managing these symptoms when they come up?
Chris

Jump to this post

@santosha The one thing i notice is for the last couple years i would get really bad pain from my neck up and around my ears.Usually was one side or the other.Then it started to be both sides at the same time.Then about 3 months ago the pain moved to top of my head from my neck and now got dizziness to go along with it all.

REPLY
Profile picture for larry68 @larry68

@santosha The one thing i notice is for the last couple years i would get really bad pain from my neck up and around my ears.Usually was one side or the other.Then it started to be both sides at the same time.Then about 3 months ago the pain moved to top of my head from my neck and now got dizziness to go along with it all.

Jump to this post

Hi @larry68
Stuttering or difficulty speaking is a common symptom during the recovery period that follows a seizure — known as the postictal phase. It is typically temporary and part of normal recovery, which is why I was surprised to hear that this symptom has lasted all day on multiple occasions.
As I mentioned in another post — https://connect.mayoclinic.org/comment/1534295/ — I was recently diagnosed with BPPV and right peripheral vestibular dysfunction. The doctor who diagnosed it, an ENT specialist (also known as an otolaryngologist), explained that this is why my head sometimes hurts severely, causing stiffness and pain in my neck and shoulders. And that has nothing to do with my epilepsy.
Have you already mentioned these symptoms to your neurologist at your first appointment? If not, I would suggest bringing them up at your next one in about three weeks. The symptoms you are experiencing may be more related to otolaryngology than to epilepsy itself.
Keep me posted!
Chris

REPLY
Profile picture for Chris Gautier, Volunteer Mentor @santosha

Hi @larry68
Stuttering or difficulty speaking is a common symptom during the recovery period that follows a seizure — known as the postictal phase. It is typically temporary and part of normal recovery, which is why I was surprised to hear that this symptom has lasted all day on multiple occasions.
As I mentioned in another post — https://connect.mayoclinic.org/comment/1534295/ — I was recently diagnosed with BPPV and right peripheral vestibular dysfunction. The doctor who diagnosed it, an ENT specialist (also known as an otolaryngologist), explained that this is why my head sometimes hurts severely, causing stiffness and pain in my neck and shoulders. And that has nothing to do with my epilepsy.
Have you already mentioned these symptoms to your neurologist at your first appointment? If not, I would suggest bringing them up at your next one in about three weeks. The symptoms you are experiencing may be more related to otolaryngology than to epilepsy itself.
Keep me posted!
Chris

Jump to this post

@santosha I most certainly will.Sometimes the pain feels like its swimming around in the top of my head.Up to a couple months ago,the pain was from my neck to over my ears and it was much more painful and stuttered bad at times then too.Now its not as painful but dizziness comes and goes and never can tell when stuttering is gonna start and for how long.So they have you all fixed up now?

REPLY
Profile picture for larry68 @larry68

@santosha I most certainly will.Sometimes the pain feels like its swimming around in the top of my head.Up to a couple months ago,the pain was from my neck to over my ears and it was much more painful and stuttered bad at times then too.Now its not as painful but dizziness comes and goes and never can tell when stuttering is gonna start and for how long.So they have you all fixed up now?

Jump to this post

Hi @larry68,
My ENT specialist has recommended two specific tests: videonystagmography (VNG) and the Six-Canal Semicircular Head Impulse Test. Because they are quite specialized, the earliest appointment I could get is end of April.
Treatment typically involves Vestibular Rehabilitation Therapy combined with repositioning maneuvers.
Wishing you a smooth MRI today!
Chris

REPLY
Profile picture for Chris Gautier, Volunteer Mentor @santosha

Hi @larry68,
My ENT specialist has recommended two specific tests: videonystagmography (VNG) and the Six-Canal Semicircular Head Impulse Test. Because they are quite specialized, the earliest appointment I could get is end of April.
Treatment typically involves Vestibular Rehabilitation Therapy combined with repositioning maneuvers.
Wishing you a smooth MRI today!
Chris

Jump to this post

@santosha Thank you.I will tell you one thing i am soooo tired of this stuff.I won't know anything from neurologist till May 29th

REPLY
Please sign in or register to post a reply.