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Psychological complications of temporal lobe epilepsy

Seizure Unit and Division of Neurophysiology, Department of Neurology, Children's Hospital Medical Center (Drs. Lombroao and McIntyre), and the Department of Neurology, Harvard Medical School (Dr. Pritchard), Boston, MA.

A series of young adults with temporal lobe epilepsy included 36% with psychological complications. The incidence of overt psychosis was 11%. Psychopathology was more common in subjects with left temporal lobe spike foci (43%) and in males (4%), but these trends did not attain statistical significance. Psychological complications became manifest in adolescence in 85% of the affected cases, and were more likely (p < 0.01) to occur when seizures began in the second 5 years of life. Although seizures nearly always antedated psychological problems, the onsets of epilepsy and psychological complications did not directly correlate (p = 0.43).

Address correspondence and reprint request to Dr. Pritchard, Neurology Service, VA Medical Center, Department of Neurology, Medical University of South Carolina, 171 Ashley Avenue, Charleston, SC 29401.

Accepted for publication August 10, 1979.

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