Temporal lobe epilepsy with ictal ecstatic state and interictal behavior of hypergraphia.

The authors describe an epileptic patient with ictal ecstatic experiences and an interictal behavioral change of hypergraphia. The patient had a temporal lobe EEG spike focus in the dominant hemisphere. The ecstatic states can be considered true epileptic auras, i.e., simple partial seizures originating in the temporal lobe or the nearby structures. Hypergraphia in this patient seemed to be related to temporal lobe ictal focus in the dominant hemisphere.