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Post-ictal psychosis after right temporal lobectomy.
  1. R Manchanda,
  2. H Miller,
  3. R S McLachlan
  1. Department of Psychiatry, University of Western Ontario, London, Canada.


    Of 298 patients who had temporal lobectomies for intractable epilepsy, 4 (1.3%) developed post-ictal psychosis for the first time after surgery. All were males of normal intelligence with no pre-operative psychiatric disorder. Psychosis followed both complex partial and generalised seizures. The psychotic symptoms showed polymorphic features. Right temporal lobectomy may increase the susceptibility to post-ictal psychosis in patients who are not seizure free after surgery, particularly in the first post-operative year.

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