Ictal face perception disturbance, tattoos, and reclaiming the self

•Seizures arising from the occipito- temporal region may lead to face perception changes, or ‘prosopometamorphopsia’.•Ictal experiences may have significant psychosocial and developmental consequences, particularly in young people.•Tattoos may be rich sources of insight into patient experiences and...

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Bibliographic Details
Published in:Epilepsy & behavior reports 2023-01, Vol.22, p.100595, Article 100595
Main Authors: Winton-Brown, T.T., Smith, L., Laing, J., O'Brien, T.J., Neal, A.
Format: Article
Language:English
Subjects:
Case Report
Cognitive behavioural therapy
Epilepsy
Neuropsychiatry
Prosopometamorphopsia
Social anxiety
Tattoos
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Summary:•Seizures arising from the occipito- temporal region may lead to face perception changes, or ‘prosopometamorphopsia’.•Ictal experiences may have significant psychosocial and developmental consequences, particularly in young people.•Tattoos may be rich sources of insight into patient experiences and facilitate a therapeutic process. We present a case of a young man with frightening ictal disturbance of face perception, or prosopometamorphopsia, arising from the left temporo-occipital region, leading to significant psychosocial impairment. A vivid forearm tattooof the ictal experience conveyed its nature to the treating team and facilitated a psychotherapeutic process leading to significant psychosocial recovery. This case highlights the marked psychosocial and developmental impacts of epilepsy and the benefit of incorporating these into assessment and treatment.
ISSN:2589-9864
2589-9864
DOI:10.1016/j.ebr.2023.100595