Psychiatria Danubina, Vol. 37 No. 3, 2025.
Original scientific paper
https://doi.org/10.24869/psyd.2025.380
Geschwind syndrome in remitted bipolar affective disorder without MRI brain findings: A case report
Ilambaridhi Balasubramanian
; Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
Priya Sarkar
; Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
Sahanavarshini Ravi
; Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
Shivanand Kattimani
; Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
Abstract
Geschwind Syndrome (GS) comprises a constellation of behavioural traits traditionally associated with temporal lobe epilepsy. These include hyper-religiosity, hypergraphia, altered sexuality, and circumstantial thought processes. Increasingly, GS features are also observed in other neuropsychiatric conditions. We present a 26-year-old female with bipolar affective disorder in remission who developed GS-like features such as hyper-religiosity, compulsive writing, and atypical romantic ideation, without evidence of seizures, abnormal EEG, or MRI findings. She showed limited response to aripiprazole and partial improvement with behavioural interventions. This case highlights the need for increased recognition of GS features in psychiatric populations, independent of structural or seizure-related pathology.
Keywords
Geschwind Syndrome; bipolar disorder; hypergraphia; hyper-religiosity; neuropsychiatry
Hrčak ID:
344040
URI
Publication date:
4.12.2025.
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