TABLE 1

Classification of aggressive symptoms according to their temporal relationship with seizures

Timing relative to seizureAggressive symptoms reported
Peri-ictal
 PreictalNot reported
 IctalAggressive conduct in 1 of 1000 seizures recorded in monitoring units (Delgado-Escueta et al., 1981)
 PostictalPostictal delirium/confusion
Postictal psychoses (22.8% present with aggressive behaviors)
Paraictal
 Forced normalizationRarely reported
InterictalUp to 7% in unselected groups but due to the underlying psychiatric comorbidity