Department of Neurology, School of Medicine, University of Virginia, Charlottesville, VA, United States.
School of Law, University of Virginia, Charlottesville, VA, United States.
Epilepsy Res. 2024 Sep;205:107398. doi: 10.1016/j.eplepsyres.2024.107398. Epub 2024 Jul 2.
Detailed descriptions of violent postictal episodes are rare. We provide evidence from an index case and from a systematic review of violent postictal episodes that demonstrates the encephalopathic features of some violent postictal behaviors. We discuss how these cases may fit in the legal framework of culpability. The data support the view that some episodes of violent postictal behavior are more accurately classified as a neurological delirium or encephalopathy rather than as a postictal psychosis. Current medical terminology may present unwarranted (and presumably unintended) barriers to exculpation for patients who exhibit post-ictal violence during an episode of delirium during which the patient was unaware of his or her violent conduct.
关于癫痫后剧烈发作的详细描述很少见。我们提供了一个索引病例和一个关于癫痫后剧烈发作的系统回顾的证据，这些证据表明了一些癫痫后剧烈发作行为的脑病特征。我们讨论了这些病例如何符合罪责的法律框架。这些数据支持这样一种观点，即一些癫痫后剧烈发作行为更准确地归类为神经错乱或脑病，而不是癫痫后精神病。目前的医学术语可能为那些在意识不清的谵妄发作期间出现癫痫后暴力行为的患者在免责方面设置了不必要的（大概也是无意的）障碍。
