Overt aggressive behaviors occur in a minority of people with epilepsy. Certain typical features are common to most episodes of aggression in patients with TLE. These features may differ depending on when they occur:
The last feature above is helpful in distinguishing patients with interictal aggression from those with antisocial personality disorders. Aggressive behavior among people with epilepsy may be more common in those whose early life included disruption or physical abuse, or those with histories of fire setting, animal torture, conduct disorder, or substance abuse.
Reviewed and extensively revised April 2004 by Andres M. Kanner, M.D., epilepsy.com Editorial Board
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