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Clinical Cases and Reviews in Epilepsy

“Psychogenic-like” catatonic post-ictal status

Brief report/Clinical case, 51 - 53
doi: 10.11138/ccre/2016.1.1.051
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Abstract
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Catatonia has been mainly reported in psychiatric disorders but, in a minority of cases, it may occur as a consequence of epileptic seizures or nonconvulsive status epilepticus. Notwithstanding, in rare cases psychiatric and neurologic disorders may overlap and the diagnosis may be difficult to establish. Here we report the case of a young man whose episodes of prolonged catatonia have been recorded in order to differentiate seizures from psychogenic non-epileptic seizures (PNES). Interestingly, the catatonic state was accompanied by a normal EEG but occurred immediately after focal seizures arising from the right temporal lobe.
Catatonia was demonstrated to be a postictal manifestation of temporal lobe seizures, probably induced by a functional impairment of the volitional cortical circuits. Our case highlights the utility of the long-term video-EEG monitoring in the differential diagnosis between epilepsy and PNES.

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