Post-ictal Cotard delusion in focal epilepsy patients


Cotard delusion is a nihilistic delusion that presents as denial of self-existence and is a rare neuropsychiatric phenomenon associated with diverse neurologic or psychiatric disorders [1]. Various case reports and case series have indicated associations between Cotard delusion and neurologic or psychiatric diseases; these include depression, schizophrenia, traumatic brain injury, multiple sclerosis, stroke, and Parkinson’s disease [1]. However, there have been few reports of Cotard delusion in epilepsy patients [2].


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