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Keywords:

  • Ictal fear;
  • Temporal lobe epilepsy;
  • Periictal psychosis

Summary: Purpose: To describe periictal Capgras syndrome as a result of rapid, successive bouts of ictal fear.

Methods: This periictal psychotic state was documented by depth EEG recordings.

Results: Episodes of paroxysmal fear, experienced as a vivid sensation of someone being nearby, corresponded with unilateral left limbic ictal discharge.

Conclusions: Depersonalization, regardless of organic or functional origin, is an important contributor to the genesis of Capgras syndrome.