Psychosis as a Manifestation of Focal Impaired Awareness Seizure in a Geriatric Patient

Focal impaired awareness seizures (formerly complex partial seizures) originating in the temporal lobe frequently present with psychiatric symptoms including behavioral and affective disturbances, with peak incidence in elderly populations. This case report describes an older adult whose transient psychosis was ultimately attributed to seizure activity rather than primary psychiatric illness, highlighting the diagnostic challenge of recognizing seizure-related psychosis in geriatric patients.