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Frontal Lobe Epilepsy Presenting as a Psychotic Disorder With Delusions and Hallucinations: A Case Study

Published online by Cambridge University Press:  07 November 2014

Bonnie J. Ramsey
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Abstract

Although psychotic symptoms are a recognized manifestation of epilepsy, these are more often associated with seizures of the temporal lobe type. While 10% of children with temporal lobe epilepsy develop a psychotic disorder by adulthood, the literature does not report any cases of psychotic disorders associated with frontal lobe seizures in children. This article presents a unique case of a girl whose frontal lobe seizures were associated with delusional psychotic symptoms. Once her seizure disorder was identified through electroencephalography (EEG) and appropriate anticonvulsant therapy was initiated, her associated psychotic symptoms resolved.

Type
Grand Rounds
Information
CNS Spectrums , Volume 4 , Issue 9: Chronic Pain Syndromes , September 1999 , pp. 64 - 66,82
Copyright
Copyright © Cambridge University Press 1999

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References

REFERENCES

1.Kaplan, HI, Sadock, BJ. Comprehensive Textbook of Psychiatry. 6th ed. Baltimore, Md: William and Wilkins; 1995:198–206, 720–724.Google Scholar
2.Caplan, R, Shields, DW, Mori, L, Yudovin, S. Middle childhood onset interictal psychosis. J Am Acad Child Adolesc Psychiatry. 199;30:893–896.CrossRefGoogle Scholar
3.Fogel, BS, Schiffer, RB, Rao, SM: Neuropsychiatry. Baltimore, Md: Williams and Wilkins; 1996:787–792.Google Scholar
4.Gibbs, FA. Ictal and non-ictal psychiatric disorders in temporal lobe epilepsy. J Nerv Mental Dis. 1951;113:522–528.Google ScholarPubMed
5.Pond, DA. Discussion remark. Proc R Soc Land [Med]. 1962;55:316.Google Scholar
6.Slater, E, Beard, AW, Glithers, E. The schizophrenic-like psychoses of epilepsy, V: Discussion and conclusions. Br J Psychiatry. 1963;109:95–150.CrossRefGoogle Scholar
7.Williamson, PD. Frontal lobe epilepsy. In: Jasper, HH, Riggio, S, Goldman-Rakie, PS, eds. Epilepsy and the Functional Anatomy of the Frontal Lobe. New York, NY: Raven Press, Ltd; 1995.Google ScholarPubMed
8.Stores, G, Zaiwalla, Z, Bergel, N. Frontal lobe complex partial seizures in children: a form of epilepsy at particular risk of misdiagnosis. Dev Med Child Neurol. 1991;33:998–1009.CrossRefGoogle ScholarPubMed
9.Devinsky, O, Kelley, K, Porter, RJ, Theodore, WH. Clinical and electroencephalographic features of simple partial seizures. Neurology. 1988;38:1347–1352.CrossRefGoogle ScholarPubMed
10.Dongier, S. Statistical study of clinical electroencephalographic manifestations of 536 psychotic episodes occurring in 516 epileptics between clinical seizures. Epilepsia. 1959;1:117–142.Google ScholarPubMed
11.Chauvel, P, Delgado-Escueta, A, Halgren, E, Bancaud, J, eds. Frontal lobe seizures and epilepsies. Advances in Neurology. New York, NY: Raven Press;1992:57.Google Scholar
12.Williamson, PD, Wieser, HG, Delgado-Escueta, AV. Clinical characteristics of partial seizures. In: Engel, J Jr, ed. Surgical Treatment of the Epilepsies. New York, NY: Raven Press;1987:101–20.Google Scholar
13.Ramussen, T. Surgery of frontal lobe epilepsy. In: Purpura, DP, Penry, JK, Walter, RD, eds. Neurosurgical Management of Epilepsies. New York, NY; Raven Press; 1975:197–205.Google Scholar
14.Chauvel, P, Kliemann, F, Vignal, JP, Chodkiewiez, JP, Talairach, J, Bancaud, J. The clinical signs and symptoms of frontal lobe seizures. In: Jasper, HH, Riggio, S, Goldman-Google Scholar