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BIBTEX RIS

Complete remission of epileptic psychosis after temporal lobectomy: case report

2001; Thieme Medical Publishers (Germany); Volume: 59; Issue: 3B Linguagem: Inglês

10.1590/s0004-282x2001000500028

1678-4227

Renato Luiz Marchetti, Alexandre Garcia Tavares, Gary Gronich, Lia Arno Fiore, Renata Barbosa Ferraz,

Psychosomatic Disorders and Their Treatments

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.