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Other changes highlighted in the literature include increased religious beliefs and a heightened concern for morality. Religious and moral themes tend to predominate when patients display hypergraphia, an increase in the volume of written material the person produces and a preoccupation with details within the content. The association of these behaviors to epilepsy, including TLE, is controversial.
Since the publication of such reports, a number of authors have questioned the linking of these personality changes with TLE. Indeed, various authors have indicated that such changes are not specific to patients with epilepsy but are also identified in other neurologic disorders. Furthermore, a recent review pointed out that patients with frontal lobe epilepsy are more likely to present these personality changes than those with temporal lobe epilepsy.
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