A 36-year-old male with non-lesional refractory frontal-lobe epilepsy,
diagnosed at 16 years of age, and with a history of four
hospitalizations for refractory status epilepticus and admitted to the
intensive care unit with focal seizures in the right upper limb,
impaired consciousness, and recurrent progression to bilateral
tonic-clonic seizures.
AbstractAlthough 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.