Focal cognitive seizure Focal cognitive seizure with conduction dysphasia/aphasia 2020-03-14T09:35:50Z A focal cognitive seizure characterized by conduction dysphasia / aphasia as the initial semiological manifestation. Conduction dysphasia / aphasia is the inability to repeat speech that is heard, due to failure to encode phonological information, in the setting of intact auditory comprehension (full understanding of what is heard), and fluent speech production (subject to paraphrasic errors).