Postictal delirium and violent behavior in patients with post-neurosurgical epilepsy.

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Postictal delirium and violent behavior in patients with post-neurosurgical epilepsy.

World Neurosurg. 2018 Apr 25;:

Authors: Oueslati B, Fekih-Romdhane F, Ridha R

Abstract
Neurosurgical brain interventions may result in lesions which can cause epilepsy. Diagnosis may in some situations be delayed. Meanwhile violent behavior can occur during postictal delirium states. While benign behavioral manifestations are well documented in literature, violent offenses with post neurosurgical epilepsy are sparsely reported. Our aim was to illustrate such situations, to focus on management and to emphasize on prevention's necessity. Our paper reports data related to two patients. Both were suffering from a post-neurosurgical epilepsy and offended during postictal delirium states. The first one had a generalized epilepsy and committed an attempted rape. The second suffered from a temporal lobe epilepsy. The offense was an attempted homicide. Patients were well managed using anticonvulsant medication after the offenses. Early diagnosis and regular follow-up are two measures to take into consideration to prevent violent behavior in patients with post-neurosurgical epilepsy.

PMID: 29704689 [PubMed - as supplied by publisher]

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