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September 1981

Intensive Monitoring of Epileptic Patients With a History of Episodic Aggression

Author Affiliations

From the Department of Neurology, University of Minnesota, and the Comprehensive Epilepsy Program of Minnesota, Minneapolis.

Arch Neurol. 1981;38(9):570-571. doi:10.1001/archneur.1981.00510090064007

• Nineteen epileptic patients with significant history of episodic aggressive behavior were subjected to intensive behavioral and electrophysiologic monitoring for an average period of six weeks in a specialized inpatient facility. Numerous seizures were recorded in these patients but none disclosed ictal aggression. Only two patients showed episodic aggressive behavior but in neither case could seizures be implicated causally. The majority of patients showed a remarkable progressive improvement in aggressive tendencies during hospitalization. It is concluded that ictal aggression is rare and that, in most cases, the aggressive behavior in epileptics is a multifactorially determined interictal phenomenon.