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11:29
Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
Published on: August 15, 2025
The effect of surgery on the postictal state
S Parrish Winesett1, Selim R Benbadis
1University of South Florida College of Medicine, Tampa, FL 33612, USA. MicheleWinesett@msn.com
Epilepsy & Behavior : E&B
|August 31, 2010
Summary
Surgery’s impact on the postictal state, including psychosis, remains unclear. Some patients experience new psychosis post-surgery, while others see resolution, with rare syndromes also reported.
Area of Science:
- Neurology
- Neurosurgery
- Epileptology
Background:
- The postictal state following seizures is complex and not fully understood.
- Limited research exists on the specific effects of epilepsy surgery on the postictal state and associated phenomena like psychosis.
Purpose of the Study:
- To systematically investigate the impact of epilepsy surgery on the postictal state.
- To explore the occurrence and resolution of postictal psychosis after surgical intervention.
Main Methods:
- Systematic review of literature on epilepsy surgery and postictal states.
- Analysis of case reports detailing postictal syndromes post-surgery.
Main Results:
- The effect of surgery on the postictal state is varied and not well-documented.
- Postictal psychosis can emerge or resolve following epilepsy surgery.
- Rare cases of postictal Kluver Bucy Syndrome and Capgas Syndrome have been reported after resective epilepsy surgery.
Conclusions:
- Epilepsy surgery can influence the postictal state in unpredictable ways.
- Further systematic studies are needed to elucidate the relationship between epilepsy surgery and postictal phenomena.
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