Fantastic confabulation in right frontal lobe epilepsy

Mayu Fujikawa, Yoshiyuki Nishio, Yosuke Kakisaka, Nanayo Ogawa, Masaki Iwasaki, Nobukazu Nakasato

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Background Interictal behavioral symptoms in frontal lobe epilepsy (FLE) are variable and often difficult to discriminate from other localization-related epilepsies. Methods and results We report two female patients with right FLE who exhibited fantastic confabulations. One of the patients had a 14-year history of hypermotor seizures, and the other had a 10-year history of dyscognitive seizures with automatism. Their fantastic confabulations arose in the context of moderate-to-severe cognitive impairment and of a variety of behavioral abnormalities, including emotional withdrawal and compulsive behaviors. Conclusion Fantastic confabulations are rare but may be a relatively specific behavioral marker for FLE-associated psychosis.

Original languageEnglish
Pages (from-to)55-57
Number of pages3
JournalEpilepsy and Behavior Case Reports
Publication statusPublished - 2016


  • Confabulation
  • Frontal lobe epilepsy
  • Psychosis


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