title: Self injurious behavior in temporal lobe epilepsy.
abstract: Self-injurious behavior (SIB) or self-mutilating behavior (SMB) is rare but can occur in temporal lobe epilepsy. Such a behavior during seizures is not usually recalled by patient. Here is a case with self mutilating behavior in left temporal lobe epilepsy, presented because of its rare manifestation and diagnostic dilemma. A 19 year old unmarried Muslim student presented to emergency with SMB, guilty rumination and a persecutory delusion. The patient was intermittently confused about place and time. In subsequent assessments, he was found harboring death wishes and suicidal ideation. He transiently had auditory hallucination and thought broadcasting. He episodically tried to harm himself by severely biting only his left ring finger. It was difficult to influence him during such episodes. EEG revealed left temporal lobe seizure. Diagnosis of 'Epilepsy and Organic Psychosis' was made. The patient responded well to Antiepileptic and Antipsychotic medications.
authors: Department of Psychiatry, B P Koirala Institute of Health Sciences, Dharan. drdhanashakya@yahoo.com
authors: D R
authors: DR
authors: Shakya
authors: P M
authors: PM
authors: Shyangwa
authors: A K
authors: AK
authors: Pandey
authors: S
authors: S
authors: Subedi
authors: S
authors: S
authors: Yadav
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use*; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D004569:Electroencephalography; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis* / Q000188:drug therapy*; D005383:Finger Injuries / Q000209:etiology; D006801:Humans; D008297:Male; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000188:drug therapy*; D016728:Self-Injurious Behavior / Q000209:etiology*; D059020:Suicidal Ideation; D055815:Young Adult
chemical_list: D000927:Anticonvulsants; D014150:Antipsychotic Agents