{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:00:03Z","timestamp":1747148403052,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Epileptic Disorders"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Psychosis of epileptic origin can present a wide range of cognitive and affective symptoms and is often underrecognized. Usually occurring in the inter\u2010 and postictal phase, epileptic psychosis is mostly related to temporal lobe epilepsy. Here, we describe the clinical presentation and diagnostic workup including routine EEG recording and brain MRI of a 63\u2010year\u2010old woman expressing isolated nihilistic delusions comprising belief of being dead and denial of self\u2010existence. EEG showed an ictal pattern fulfilling the Salzburg criteria of nonconvulsive status epilepticus and brain MRI revealed extensive peri\u2010ictal hyperperfusion. Delusional symptoms and EEG abnormalities subsided after acute antiseizure treatment. Our case illustrates how nihilistic delusions can occur as a direct clinical correlate of seizure activity, thereby expanding the spectrum of ictal neuropsychiatric phenomena in temporal lobe epilepsy and highlighting the need to consider an epileptic origin in patients presenting with psychotic symptoms.<\/jats:p>","DOI":"10.1002\/epd2.20221","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T12:33:31Z","timestamp":1714480411000},"page":"375-381","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Ictal Cotard delusion as a manifestation of nonconvulsive status epilepticus: A case report and commentary"],"prefix":"10.1002","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8965-8081","authenticated-orcid":false,"given":"Bernardo","family":"Crespo Pimentel","sequence":"first","affiliation":[{"name":"Department of Neurology, Neurointensive Care and Neurorehabilitation Christian\u2010Doppler University Hospital, Paracelsus Medical University, Centre for Neuroscience Salzburg, Member of the European Reference Network, EpiCARE  Salzburg Austria"},{"name":"Department of Clinical and Experimental Epilepsy UCL Queen Square Institute of Neurology  London UK"},{"name":"Chalfont Centre for Epilepsy  Chalfont St. Peter UK"},{"name":"Neuroscience Institute, Christian\u2010Doppler University Hospital Centre for Cognitive Neuroscience Salzburg  Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6899-8506","authenticated-orcid":false,"given":"Giorgi","family":"Kuchukhidze","sequence":"additional","affiliation":[{"name":"Department of Neurology, Neurointensive Care and Neurorehabilitation Christian\u2010Doppler University Hospital, Paracelsus Medical University, Centre for Neuroscience Salzburg, Member of the European Reference Network, EpiCARE  Salzburg Austria"},{"name":"Neuroscience Institute, Christian\u2010Doppler University Hospital Centre for Cognitive Neuroscience Salzburg  Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Heyduk","sequence":"additional","affiliation":[{"name":"University Institute of Radiology, University Hospital Salzburg Paracelsus Medical University  Salzburg Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aljoscha","family":"Thomschewski","sequence":"additional","affiliation":[{"name":"Department of Neurology, Neurointensive Care and Neurorehabilitation Christian\u2010Doppler University Hospital, Paracelsus Medical University, Centre for Neuroscience Salzburg, Member of the European Reference Network, EpiCARE  Salzburg Austria"},{"name":"Neuroscience Institute, Christian\u2010Doppler University Hospital Centre for Cognitive Neuroscience Salzburg  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