We report a case of a female patient with refractory complex partial seizures since 15 years of age, recurrent postictal psychotic episodes since 35 which evolved to a chronic refractory interictal psychosis and MRI with right mesial temporal sclerosis (MTS). After a comprehensive investigation (video-EEG intensive monitoring, interictal and ictal SPECT, and a neuropsychological evaluation including WADA test) she was submitted to a right temporal lobectomy. Since then, she has been seizure-free with remission of psychosis, although with some persistence of personality traits (hiperreligiosity, viscosity) which had been present before surgery. This case supports the idea that temporal lobectomy can be a safe and effective therapeutic measure for patients with MTS, refractory epilepsy and recurrent postictal epileptic psychosis or interictal epileptic psychosis with postictal exacerbation.
CITATION STYLE
Marchetti, R. L., Garcia Tavares, A., Gronich, G., Fiore, L. A., & Ferraz, R. B. (2001). Complete remission of epileptic psychosis after temporal lobectomy: Case report. Arquivos de Neuro-Psiquiatria, 59(3 B), 802–805. https://doi.org/10.1590/S0004-282X2001000500028
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