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Neuropsychological and behavioral abnormalities in an adolescent with frontal lobe seizures

From the Departments of Neurology (Drs. Boone, Miller, McIntyre, and Weil), Psychiatry (Drs. Rosenberg and Durazo), and Pediatrics (Dr. Weil), Harbor-UCLA Medical Center, Torrance, CA.

A 13-year-old girl had a reversible frontal syndrome secondary to partial complex seizures. She developed sudden and dramatic behavioral changes including sexual disinhibition, loss of concern for personal hygiene, physical and verbal aggression, and pressured and tangential speech. Although the basic neurologic examination was normal, neuropsychological testing revealed selective impairment on tasks sensitive to frontal dysfunction with relatively normal performance on other tests. This case demonstrates that a frontal syndrome can be caused by partial complex seizures and that behavior comparable to that observed in adults with frontal dysfunction may occur in young adolescents.

Address correspondence and reprint requests to Dr. Boone, Department of Neurology, D5 Annex, Harbor-UCLA Medical Center, 1000 W. Carson Street, Torrance, CA 90509.

Supported in part by a grant from the State of California, Department of Mental Health (85–76263) and a Physician Scientist Award (K 11 AG 00284–02).

Received May 21, 1987. Accepted for publication in final form August 4, 1987.

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