ArticleFrontiers in rehabilitation sciences2026
Case Report: Epilepsy-related pure word deafness in the elderly: an underreported presentation?
Article in Frontiers in rehabilitation sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
We describe a rare case of epilepsy-related PWD in the elderly. A 61-year-old right-handed man presented with status epilepticus. Although electroencephalogram revealed no epileptiform discharges, brain magnetic resonance imaging (MRI) showed hyperintensity in the left temporoparietal lobe and thalamic pulvinar on diffusion-weighted imaging (DWI). Cerebrospinal fluid revealed no pleocytosis and negative PCR results for herpes simplex virus and varicella-zoster virus. Following the recovery of consciousness, he exhibited a profound dissociation between auditory and speech/language modalities: he was unable to comprehend or repeat spoken language but could follow complex written instructions and fluently produce grammatically correct speech. He had largely preserved perception of non-verbal sounds. Despite minor accompanying oral reading deficits interpreted as concomitant symptoms of an extensive lesion, he was diagnosed with epilepsy-related PWD. Following the administration of levetiracetam, the patient's language function recovered significantly within 20 days. This case suggests that PWD represents an overlooked, transient manifestation of dementia-like symptoms in late-onset epilepsy. Due to its rapid reversibility, such cases are likely underrecognized and underreported; further documentation is warranted.
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