title: Gender dysphoria "cured" by status epilepticus.
abstract: OBJECTIVE
  A case is described pointing to the biological factors in gender identity and personality structure.
  
  
  METHODS
  The history is presented of a transsexual patient who experienced a change of gender identity and personality following an episode of status epilepticus.
  
  
  RESULTS
  The patient presented as convincingly feminine and with features of Borderline Personality Disorder. She had an old brain injury. After a prolonged epileptic episode the Borderline features disappeared and the patient expressed a clearly male identity.
  
  
  CONCLUSIONS
  The findings are equivocal: they may be seen both as reflecting a change in a neurologically structured identity and as a resetting of psychosocially acquired characteristics.
authors: Psychiatrist in private practice (retired) Wollongong, NSW, Australia jpparkinson@optusnet.com.au.
authors: John
authors: J
authors: Parkinson
mesh_terms: D000328:Adult; D001883:Borderline Personality Disorder / Q000150:complications* / Q000523:psychology / Q000628:therapy; D005260:Female; D000068116:Gender Dysphoria / Q000150:complications* / Q000523:psychology*; D006801:Humans; D008297:Male; D013226:Status Epilepticus / Q000150:complications* / Q000523:psychology*; D014189:Transsexualism / Q000150:complications* / Q000523:psychology* / Q000628:therapy
keywords: Borderline Personality; brain damage; gender identity; status epilepticus