TY - JOUR PY - 2024// TI - A medico-legal perspective on postictal violence: a case study and systematic review of postictal delirium JO - Epilepsy research A1 - Quigg, Mark A1 - Bonnie, Richard A1 - Bauer, Derek A1 - Goodkin, Howard P. A1 - Kapur, Jaideep SP - e107398 EP - e107398 VL - 205 IS - N2 - 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.
Language: en
LA - en SN - 0920-1211 UR - http://dx.doi.org/10.1016/j.eplepsyres.2024.107398 ID - ref1 ER -