Emine GENÇ, Ebru Apaydın DOĞAN, Barış BAKLAN, İbrahim ÖZTURA

Ictal fear and aggression as the presenting symptom of epileptic seizures

Agresyon ender görülen bir iktal fenomen olup, frontal ve/veya temporal epileptik odak kaynaklı olabilir. Agresyon, hem hasta hem de hasta yakınları için son derece ürkütücü olabilir ve özellikle izole bir semptom şeklinde ise tanı zor olabilir. Bu vaka sunumunda, nokturnal kümeler halinde şiddetli çığlık, ardından agresyonun görüldüğü ve daha önce hiç jeneralize epileptik nöbet geçirmemiş olan hasta sunulmaktadır. Hasta halen takibimizde olup günlük 300 mg Lamotrijin tedavisiyle sekiz aydır nöbetsizdir

İktal korku ve öfke ile niteli epileptik nöbetler

Aggression is an uncommon phenomenon which may be the only ictal semiologic feature of frontal or temporal epileptic foci. This feature may be very frightening for the family and if the patient presents with this isolated symptom, the diagnosis may be challenging. A patient with clusters of nocturnal vocalization and aggression who had never experienced a generalized seizure priorly is presented. We decided to present this case because of its atypical presentation.The patient is still being followed at our out-patient clinic and has been seizure free for eight months on 300 mg lamotrigine therapy.

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