This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor.—
The report by Adebimpe concerning a man who was thought to have complex partial seizures simulating schizophrenia underscores a trend among many psychiatrists to ascribe organic causes for apparent emotionally aberrant behavior. The report also supports my feeling, however, that this trend often leads one into a confusing area that is neither psychiatric or neurologic.Based on the case report, the evidence to support complex partial epilepsy is much less than satisfactory. The episodes last approximately three hours and as long as 24 hours, rather long for seizures. They are said to have "aura-like" phases that last as long as four hours. They are not followed by any confusion, and they are characterized by goal-directed destructive behavior as part of the ictal period. These features are all highly atypical of temporal lobe seizures. Further, the inability to obtain an abnormal EEG and the response of these "seizures"
Brillman J. Complex Partial Seizures vs Schizophrenia. JAMA. 1977;238(3):211. doi:10.1001/jama.1977.03280030018004
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: