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Letters   |    
Ictal Coprolalia in a Patient With Temporal Lobe Epilepsy
Sara Panunzi, M.D.; Francesco Cardona, M.D.; Paola De Liso, M.D.; Mario Brinciotti, M.D.; Andrea E. Cavanna, M.D., Ph.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2013;25:E48-E49. doi:10.1176/appi.neuropsych.12120379
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Dept. of Pediatrics and Child Neuropsychiatry, Sapienza University, Rome, Italy
Michael Trimble Neuropsychiatry Research Group, BSMHFT and University of Birmingham, U.K.
Sobell Dept. of Motor Neuroscience and Movement Disorders, UCL and Institute of Neurology, London, U.K.

Correspondence: Dr. Andrea E. Cavanna; e-mail: A.Cavanna@ion.ucl.ac.uk

Copyright © 2013 by the American Psychiatric Association

Extract

To the Editor: The association between epilepsy and behavioral symptoms has attracted the attention of neurologists and psychiatrists since the 19th century; however, many aspects of this relationship still remain controversial.1 We report the case of an 8-year-old girl with temporal lobe epilepsy who presented with ictal coprophenomena (coprolalia and copropraxia), as well as aggressive behaviors and multimodal hallucinations.

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FIGURE 1. Magnetic Resonance Spectroscopy (MRS) Findings
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References

Jones  R;  Rickards  H;  Cavanna  AE:  The prevalence of psychiatric disorders in epilepsy: a critical review of the evidence.  Funct Neurol 2010; 25:191–194
[PubMed]
 
Ali  F;  Rickards  H;  Cavanna  AE:  The assessment of consciousness during partial seizures.  Epilepsy Behav 2012; 23:98–102
[CrossRef] | [PubMed]
 
Caplan  R;  Comair  Y;  Shewmon  DA  et al:  Intractable seizures, compulsions, and coprolalia: a pediatric case study.  J Neuropsychiatry Clin Neurosci 1992; 4:315–319
[PubMed]
 
Bagshaw  AP;  Cavanna  AE:  Brain mechanisms of altered consciousness in focal seizures.  Behav Neurol 2011; 24:35–41
[CrossRef] | [PubMed]
 
Cavanna  AE;  Cavanna  S;  Cavanna  A:  Epileptic seizures and spirit possession in Haitian culture: report of four cases and review of the literature.  Epilepsy Behav 2010; 19:89–91
[CrossRef] | [PubMed]
 
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Intractable seizures, compulsions, and coprolalia: a pediatric case study. J Neuropsychiatry Clin Neurosci 1992;4(3):315-9.
Ictal coprolalia in a patient with temporal lobe epilepsy. J Neuropsychiatry Clin Neurosci 2013;25(4):E48-9.