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Disrobing associated with epileptic seizures and forensic implications
Hal S Wortzel1, Laura A Strom, Alan C Anderson
1VISN 19 MIRECC, Denver Veterans Hospital, Denver, CO 80220, USA. hal.wortzel@ucdenver.edu
Epileptic seizures can cause unexpected disrobing, leading to legal issues. Recognizing this as a seizure symptom is crucial for patient well-being and legal protection.
Area of Science:
- Neurology
- Forensic Psychiatry
Background:
- Epileptic seizures can manifest with complex behaviors, including disrobing.
- The clinical and medico-legal implications of seizure-related disrobing remain poorly understood.
Observation:
- Two cases of seizure-associated disrobing were documented using video-monitored electroencephalography (EEG).
- A third case highlighted the adverse legal consequences for a patient experiencing nocturnal seizure-induced wandering while unclothed.
Findings:
- Disrobing can occur as an ictal automatism or during the postictal phase of epilepsy.
- Patients may disrobe and wander nude due to seizures, impacting their quality of life.
Implications:
- Proper identification of disrobing as an ictal phenomenon is vital.
- Understanding these events can mitigate negative impacts on patients' lives and legal standing.
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