Skip to main content Accessibility help

Frontal Lobe Epilepsy Presenting as a Psychotic Disorder With Delusions and Hallucinations: A Case Study

  • Bonnie J. Ramsey


Although 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.



Hide All
1.Kaplan, HI, Sadock, BJ. Comprehensive Textbook of Psychiatry. 6th ed. Baltimore, Md: William and Wilkins; 1995:198–206, 720724.
2.Caplan, R, Shields, DW, Mori, L, Yudovin, S. Middle childhood onset interictal psychosis. J Am Acad Child Adolesc Psychiatry. 199;30:893896.
3.Fogel, BS, Schiffer, RB, Rao, SM: Neuropsychiatry. Baltimore, Md: Williams and Wilkins; 1996:787792.
4.Gibbs, FA. Ictal and non-ictal psychiatric disorders in temporal lobe epilepsy. J Nerv Mental Dis. 1951;113:522528.
5.Pond, DA. Discussion remark. Proc R Soc Land [Med]. 1962;55:316.
6.Slater, E, Beard, AW, Glithers, E. The schizophrenic-like psychoses of epilepsy, V: Discussion and conclusions. Br J Psychiatry. 1963;109:95150.
7.Williamson, PD. Frontal lobe epilepsy. In: Jasper, HH, Riggio, S, Goldman-Rakie, PS, eds. Epilepsy and the Functional Anatomy of the Frontal Lobe. New York, NY: Raven Press, Ltd; 1995.
8.Stores, G, Zaiwalla, Z, Bergel, N. Frontal lobe complex partial seizures in children: a form of epilepsy at particular risk of misdiagnosis. Dev Med Child Neurol. 1991;33:9981009.
9.Devinsky, O, Kelley, K, Porter, RJ, Theodore, WH. Clinical and electroencephalographic features of simple partial seizures. Neurology. 1988;38:13471352.
10.Dongier, S. Statistical study of clinical electroencephalographic manifestations of 536 psychotic episodes occurring in 516 epileptics between clinical seizures. Epilepsia. 1959;1:117142.
11.Chauvel, P, Delgado-Escueta, A, Halgren, E, Bancaud, J, eds. Frontal lobe seizures and epilepsies. Advances in Neurology. New York, NY: Raven Press;1992:57.
12.Williamson, PD, Wieser, HG, Delgado-Escueta, AV. Clinical characteristics of partial seizures. In: Engel, J Jr, ed. Surgical Treatment of the Epilepsies. New York, NY: Raven Press;1987:101–20.
13.Ramussen, T. Surgery of frontal lobe epilepsy. In: Purpura, DP, Penry, JK, Walter, RD, eds. Neurosurgical Management of Epilepsies. New York, NY; Raven Press; 1975:197205.
14.Chauvel, P, Kliemann, F, Vignal, JP, Chodkiewiez, JP, Talairach, J, Bancaud, J. The clinical signs and symptoms of frontal lobe seizures. In: Jasper, HH, Riggio, S, Goldman-

Related content

Powered by UNSILO

Frontal Lobe Epilepsy Presenting as a Psychotic Disorder With Delusions and Hallucinations: A Case Study

  • Bonnie J. Ramsey


Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.