Devinsky O, Khan S, Alper K
Department of Neurology, New York University School of Medicine, New York, USA.
Neuropsychiatry Neuropsychol Behav Neurol. 1998 Apr;11(2):103-5.
A 49-year-old man with right temporal lobe epilepsy developed the chronic delusion that his body emitted a foul odor (olfactory reference syndrome). Before the delusional symptoms, he had partial seizures with unpleasant olfactory hallucinations. Subsequently ictal olfactory symptoms abated but a disabling delusional syndrome developed. The only prior case of the olfactory reference syndrome in a patient with epilepsy had a right frontal lesion. The case further supports the association of right hemisphere lesions and delusional disorders.
