Non-convulsive partial seizure presenting with psychiatric symptoms

J Korean Neurol Assoc > Volume 16(5); 1998 > Article

Journal of the Korean Neurological Association 1998;16(5): 709-713.

정신 증상으로 나타난 비경련성 부분 발작

윤수진, 나덕렬, 서대원

성균관대학교 의과대학 삼성서울병원 신경과

Non-convulsive partial seizure presenting with psychiatric symptoms

Soo Jin Yoon, Duk L. Na, Dae Won Seo

Department 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. Key Words: psychiatric symptom, abnormal behavior, non-convulsive status epilepticus, seizure, traumatic brain injury.