EEG paroxysmal activity in developmental dysphasia: Report of two monozigotic twins

Dysphasia with associated EEG epileptiform activity without seizures is a recognized syndrome in children. The relationship between EEG abnormalities and the type and severity of speech impairment remains unknown. In order to clarify this problem, we have studied two monozigotic twins with developmental dysphasia and EEG abnormalities but without seizures. On the basis of literature and out two cases we discuss the possibility that epileptiform activity in this syndrome represents an epiphenomenon of underlying pathology of brain speech areas, rather than a cause of speech abnormality.