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Religious conversion in an older male with longstanding epilepsy

Religious experiences in epilepsy patients have provoked much interest with suggestions that hyperreligiosity is associated with temporal lobe seizures. Extreme varieties of religious behavior may be more frequent in epilepsy patients during ictal activity or during post-ictal psychotic episodes. We...

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Autores principales: Barr, William B., Liu, Anli, Laduke, Casey, Nadkarni, Siddhartha, Devinsky, Orrin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9068733/
https://www.ncbi.nlm.nih.gov/pubmed/35528136
http://dx.doi.org/10.1016/j.ebr.2022.100524
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author Barr, William B.
Liu, Anli
Laduke, Casey
Nadkarni, Siddhartha
Devinsky, Orrin
author_facet Barr, William B.
Liu, Anli
Laduke, Casey
Nadkarni, Siddhartha
Devinsky, Orrin
author_sort Barr, William B.
collection PubMed
description Religious experiences in epilepsy patients have provoked much interest with suggestions that hyperreligiosity is associated with temporal lobe seizures. Extreme varieties of religious behavior may be more frequent in epilepsy patients during ictal activity or during post-ictal psychotic episodes. We report a 75 year-old man with epilepsy who developed a progressive decline in cognition and behavior following a religious conversion 15 years earlier. He subsequently developed religious delusions of increasing severity and symptoms of Capgras syndrome. Brain imaging revealed bilateral posterior cortical atrophy, chronic right parieto-occipital encephalomalacia, and right mesial temporal sclerosis. Electroencephalograms and neuropsychological testing revealed initial right temporal lobe abnormalities followed by progressive frontal and bilateral dysfunction. The case highlights how a history of seizures, superimposed on sensory deprivation and a progressive impairment of right posterior and bilateral anterior brain function, may have contributed to religious conversion, which was followed by dementia and delusions involving religious content.
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spelling pubmed-90687332022-05-05 Religious conversion in an older male with longstanding epilepsy Barr, William B. Liu, Anli Laduke, Casey Nadkarni, Siddhartha Devinsky, Orrin Epilepsy Behav Rep Case Report Religious experiences in epilepsy patients have provoked much interest with suggestions that hyperreligiosity is associated with temporal lobe seizures. Extreme varieties of religious behavior may be more frequent in epilepsy patients during ictal activity or during post-ictal psychotic episodes. We report a 75 year-old man with epilepsy who developed a progressive decline in cognition and behavior following a religious conversion 15 years earlier. He subsequently developed religious delusions of increasing severity and symptoms of Capgras syndrome. Brain imaging revealed bilateral posterior cortical atrophy, chronic right parieto-occipital encephalomalacia, and right mesial temporal sclerosis. Electroencephalograms and neuropsychological testing revealed initial right temporal lobe abnormalities followed by progressive frontal and bilateral dysfunction. The case highlights how a history of seizures, superimposed on sensory deprivation and a progressive impairment of right posterior and bilateral anterior brain function, may have contributed to religious conversion, which was followed by dementia and delusions involving religious content. Elsevier 2022-01-20 /pmc/articles/PMC9068733/ /pubmed/35528136 http://dx.doi.org/10.1016/j.ebr.2022.100524 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Barr, William B.
Liu, Anli
Laduke, Casey
Nadkarni, Siddhartha
Devinsky, Orrin
Religious conversion in an older male with longstanding epilepsy
title Religious conversion in an older male with longstanding epilepsy
title_full Religious conversion in an older male with longstanding epilepsy
title_fullStr Religious conversion in an older male with longstanding epilepsy
title_full_unstemmed Religious conversion in an older male with longstanding epilepsy
title_short Religious conversion in an older male with longstanding epilepsy
title_sort religious conversion in an older male with longstanding epilepsy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9068733/
https://www.ncbi.nlm.nih.gov/pubmed/35528136
http://dx.doi.org/10.1016/j.ebr.2022.100524
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