A CASE OF POSTICTAL PSYCHOSIS WITH INTERICTAL BEHAVIOURAL CHANGE SUGGESTIVE OF GESCHWIND-GASTAUT SYNDROME IN TEMPORAL LOBE EPILEPSY -CASE REPORT

Postictal psychosis is one common entity that often complicates chronic epilepsy, in patients with severe seizure clusters that include tonic clonic seizures, bilateral cerebral dysfunction and complex partial seizures especially temporal lobe epilepsy. Similarly as reported by Norman Geschwind in 1974, interictal behavioural syndrome in temporal lobe epilepsy (TLE) has features of hyper religiosity, hyposexuality, hypergraphia, humourlessness. In subsequent studies these features have been found not to be entirely specific to TLE and the presence of this specific entity is questioned later.Here we present a case of a 36 year old male with a unique presentation of postictal psychosis with interictal hyper religiosity, circumstantial speech that was earlier diagnosed as schizophrenia. This case is presented mainly to discuss the significance of the common entity of postictal psychosis which is yet to find a place in ICD-10 or DSM-IV classification and to give a reminder of the time old concept of Geschwind syndrome in TLE.