Abstract

Aggression is an uncommon phenomenon which may be the only ictal semiologic feature of  frontal or temporal epileptic foci. This feature may be very frightening for the family and if the patient presents with this isolated symptom, the diagnosis may be challenging. A patient with clusters of nocturnal vocalization and aggression who had never experienced a generalized seizure priorly is presented. We decided to present this case because of its atypical presentation.The patient is still being followed at our out-patient clinic and  has been seizure free for eight months on 300 mg lamotrigine therapy.

Key Words: Ictal  aggression, Ictal fear, Epilepsy