Abstract

Hippocampal sclerosis is one of the most common pathologies of medically incurable temporal lobe epilepsy. Its diagnosis can be evoked on the scanner and the MRI. Its medical treatment is generally insufficient with recourse to surgical treatment to improve the clinic and the prognosis of patients with epilepsy with hippocampal sclerosis. Significant hippocampal volume loss has also been seen in patients with chronic depression. The comorbidity between these two medical conditions justifies scientific research to better understand the role of the hippocampus in these two diseases. We report the case of a patient admitted to the psychiatric consultation for management of a behavioral disorder, pseudoepileptic conversive crisis, a cerebral MRI was performed urgently and the diagnosis of hippocampal sclerosis was made. Through this observation and a review of the literature, we discuss the characteristics of this rare condition, in particular the psychiatric comorbidity.

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