Am J Psychiatry 1979; 136:833-835
Copyright © 1979 by American Psychiatric Association
Organic personality disturbance: a case of apparent atypical cyclic affective disorder
C Hellekson, R Buckland and T Price
The authors present the case report of a 19-year-old woman that contains
several important points in the diagnosis and management of organic
personality disturbance associated with temporal lobe epilepsy. The
behavioral changes may antedate the onset of the clinical seizure. The
diagnosis of complex partial seizures is a clinical diagnosis in which
surface EEGs may repeatedly not demonstrate focal activity. Carbamazepine
can have important psychotropic effects, in addition to its
well-established anticonvulsant effects, and it may be particularly
indicated if a lithium-resistant bipolar affective disorder is a
differential diagnostic possibility.
