We report a rare and unique case of a 31-year-old male patient who initially experienced exclusively focal seizures in the form of auditory hallucinations immediately following seminal ejaculation, which over the years has progressed to GTCS. Neuroimaging studies (EEG, MRI, and PET CT) revealed epileptic foci in the left temporal lobe in contrast to past reported cases, often involving women and right hemisphere lesions. A diagnosis of ejaculation induced seizures was entertained, and he was started on treatment with anti-convulsant drugs with optimal dose titration and attained good control of seizures. This case contributes to the rarity of reflex seizures triggered by sexual activity and presentation with the psychotic phenomenon (temporal lobe phenomenon).
Goud et al. (Sat,) studied this question.