{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T09:49:34Z","timestamp":1774000174448,"version":"3.50.1"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Rehabil. Sci."],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.3389\/fresc.2026.1776545","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T06:39:00Z","timestamp":1773988740000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Epilepsy-related pure word deafness in the elderly: an underreported presentation?"],"prefix":"10.3389","volume":"7","author":[{"given":"Toshiaki","family":"Takehara","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Fukui General Hospital","place":["Fukui, Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Fukui General Hospital","place":["Fukui, 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