A Case Report of Geschwind Syndrome in a Patient with Schizoaffective Disorder

In 1974, Waxman and Geschwind recognized that patients affected by temporal lobe epilepsy (TLE) could develop a constellation of symptoms that affected their mood, cognition, personality and behavior. This syndrome was characterized by interictal hyper-religiosity or magical experiences, hypergraphia, aberrant sexuality (generally hyposexuality), viscosity or circumstantiality and “intensified mental life”, and was eponymously dubbed Geschwind Syndrome (GS). The diagnosis has remained controversial in the ensuing years. Our case adds to the growing body of literature of patients clinically afflicted with the Geschwind Syndrome in the absence of temporal lobe epilepsy.