Thought broadcasting associated with seizure aura from bleeding cerebral cavernous malformation: a case report

It is well known that temporal lobe epilepsy (TLE), particularly of the mesial temporal lobe, is associated with peri‑ictal (including preictal, ictal, and postictal) and interictal psychosis. We present a case of a 38-year-old male with new-onset seizures secondary to a sporadically bleeding, inoperable temporal lobe cavernous malformation (CM). Followed over 17 years, he experienced recurrent seizures with auras intermittently associated with episodes of thought broadcasting. This case shows, in the absence of a primary psychotic disorder, a discrete temporal lobe lesion occurring with an isolated psychotic symptom during aura. We explore possible mechanisms for this phenomenon.