Organic psychiatry: temporal lobe epilepsy: practice question

A Psychiatry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Psychiatry · Organic psychiatry: temporal lobe epilepsy

Sample item

A patient with long-standing temporal lobe epilepsy becomes intensely religious, writes extensively (hypergraphia) and has reduced libido, with viscosity of interactions. This constellation is called:

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Geschwind syndrome

Geschwind syndrome is an interictal personality syndrome in temporal lobe epilepsy with hyperreligiosity, hypergraphia, hyposexuality and viscosity. It is not universal and its status is debated.

Option by option

  • A. Anton syndrome

    Anton syndrome is denial of blindness.

  • B. Gerstmann syndrome

    Gerstmann syndrome (dominant parietal lesion) has acalculia, agraphia, finger agnosia and left-right disorientation.

  • C. Kluver-Bucy syndrome

    Kluver-Bucy syndrome (bilateral amygdala damage) causes hyperorality and hypersexuality.

  • D. Geschwind syndrome (correct)

    Correct. Hyperreligiosity and hypergraphia define Geschwind syndrome.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Psychiatry question

What is the answer to this Psychiatry question?

The best answer is D, Geschwind syndrome. Geschwind syndrome is an interictal personality syndrome in temporal lobe epilepsy with hyperreligiosity, hypergraphia, hyposexuality and viscosity.

Why is "Anton syndrome" not the answer?

Anton syndrome is denial of blindness.

Why is "Gerstmann syndrome" not the answer?

Gerstmann syndrome (dominant parietal lesion) has acalculia, agraphia, finger agnosia and left-right disorientation.

Why is "Kluver-Bucy syndrome" not the answer?

Kluver-Bucy syndrome (bilateral amygdala damage) causes hyperorality and hypersexuality.

What concept does this question test?

It tests Organic psychiatry: temporal lobe epilepsy in Psychiatry. It is not universal and its status is debated.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Organic psychiatry: temporal lobe epilepsy?

Learn each diagnosis by its core features and its first-line treatment. Then use the flashcards and the other Psychiatry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.