J Korean Neurol Assoc.  1998 Oct;16(5):709-713.

Non-convulsive partial seizure presenting with psychiatric symptoms

Affiliations
  • 1Department of Neurology, Sung Kyun Kwan University, College of Medicine, Samsung Medical Center.

Abstract

A 46-year-old man presented with a six-month history of recurrent episodes of abnormal behaviors characterized by agitation, anxiety, aggression, impulsion, and depression. They were not accompanied by obvious convulsions. Brain MRI demonstrated cerebromalacia from previous traumatic brain injury in both frontal and left anterior temporal lobe. Interictal EEG showed a focal seizure disorder arising from both temporal areas. Following antiepileptic medication, the abnormal behaviors disappeared. These results suggest that non-convulsive status epilepticus or a cluster of seizures could account for prolonged behavioral disturbances.

Keyword

psychiatric symptom; abnormal behavior; non-convulsive status epilepticus; seizure; traumatic brain injury

MeSH Terms

Aggression
Anxiety
Brain
Brain Injuries
Depression
Dihydroergotamine
Electroencephalography
Encephalomalacia
Epilepsies, Partial
Humans
Magnetic Resonance Imaging
Middle Aged
Seizures*
Status Epilepticus
Temporal Lobe
Dihydroergotamine
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