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Updated: Jun 13, 2026

Behavioral Characterization of Pentylenetetrazole-induced Seizures: Moving Beyond the Racine Scale
Published on: July 8, 2025
Capgras syndrome in postictal delirium
Devavrat Joshi1, Sharad Koirala, Sachin Lamichhane
1Dr. Joshi is from the Mental Hospital in Lagankhel, Lalitpur, Nepal.
Seizure disorder management is key. Regular anticonvulsant medication can resolve Capgras syndrome and delirium, which may occur after seizures.
Area of Science:
- Neurology
- Psychiatry
Background:
- Epilepsy management requires consistent anticonvulsant medication adherence.
- Non-adherence can lead to recurrent seizures and associated neurological complications.
Observation:
- A 34-year-old male with epilepsy presented with recurrent seizures after medication non-adherence.
- Seizure episodes were followed by delirium and Capgras syndrome.
Findings:
- Capgras syndrome and delirium resolved with the resumption of regular anticonvulsant therapy.
- Seizure control was directly linked to the cessation of these neuropsychiatric symptoms.
Implications:
- This case highlights the importance of medication adherence in epilepsy.
- It underscores the potential for neuropsychiatric manifestations like Capgras syndrome in uncontrolled seizure disorders.
- Effective seizure management is crucial for preventing and resolving associated delirium and delusional syndromes.
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