ABSTRACT
The neurological examination fluctuated with proximity to a seizure. Within days of most seizures the patient showed an organic psychosis with religious preoccupation and failure to recognize place and time. At a time more than one week from a seizure, he was fully oriented, conversant and without focal neurological signs, but depressed about his life circumstances. One seizure was observed in the clinic – he roared and then leapt up and out of the room. He ran straight down the clinic corridor towards an open door connecting with the clinical laboratory, screaming all the way. Laboratory phlebotomists heard and saw him coming and slammed the door shut. The patient ran forcibly into the closed door, slumped to the ground and had a tonic-clonic convulsion.
