Oke Oluwaseun, Johnson Bamidele O, Chida Shahzad, Kekere Victor, Azim Shiraz
Psychiatry and Behavioral Sciences, Interfaith Medical Center, Brooklyn, USA.
Cureus. 2023 Jul 13;15(7):e41838. doi: 10.7759/cureus.41838. eCollection 2023 Jul.
Focal impaired awareness seizures (FIAS), previously known as complex partial seizures, refer to focal seizures that start in one hemisphere of the brain and are associated with an impairment in consciousness. FIAS of temporal lobe origin most often present with psychopathology, such as behavioral and affective symptoms. It has a bimodal age distribution peaking at the extremes of life. Geriatric presentations can often be subtle and go unnoticed asides from a few symptoms, such as confusion and memory lapses. Here, we present a unique case of a geriatric patient with FIAS presenting as transient psychosis.
局灶性意识障碍性癫痫（FIAS），以前称为复杂部分性癫痫，是指起源于大脑一侧半球的局灶性癫痫发作，并伴有意识障碍。颞叶起源的FIAS最常表现为精神病理学症状，如行为和情感症状。它具有双峰年龄分布，在生命的两端达到高峰。老年患者的表现往往很隐匿，除了一些症状，如意识模糊和记忆减退外，常常不被注意。在此，我们报告一例以短暂性精神病为表现的老年FIAS患者的独特病例。
