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Psychiatry Miscellaneous cc4c4716

Child was seen taking off clothes while watching TV; he suddenly closes eyes for sometime and was lethargic after sometime. He had probably

A
GTCS
B
Absence seizures
C
Temporal lobe epilepsy
D
febrile seizures
High-Yield Explanation
(C) Temporal lobe epilepsy# EMOTIONAL EXPERIENCES as a result of seizure, while less common, may be dramatic-fear, sadness, loneliness, anger, happiness, and sexual excitement have all been recorded.> Fear and anxiety are the most common affective experiences, while occasionally the patient describes a feeling of rage or intense anger as part of a complex partial seizure.> Ictal fear has no apparent connection to objective experience and is generally not related to the situation in which the patient finds himself during the seizure.> Each of these subjective psychic states may constitute the entire seizure or some combination may occur and immediately precedes a period of altered awareness.

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