This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Psychiatry
A pateint presented with sho lasting episodic behavioural changes which includes agitation & dream like state with thrashing movements of his limbs. He does not recall of these episodes & no precipitating factor is likely. The most likely diagnosis is- 
Select and explain. 
A. Schizophrenia, B. Temporal lobe epilepsy, C. Panic episodes, D. Dissociative disorder
B: Temporal lobe epilepsy
Answer: B: Temporal lobe epilepsy 
Explanation: B i.e. Temporal lobe epilepsy Temporal lobe epilepsy is differentiated from psychogenic seizures by absence of precipitating stress & presence of postictal disorientation, memory loss & dysphasia. Organic lesion Clinical symptoms Temporal lobe epilepsy (TLE) Hyposexuality, Emotional intensity & perseveration approach to interactions, termed viscosity. Left TLE - Humorless - Generate references to personal destiny & philosophical themes Right TLE Excessive emotionality ranging from elation to sadness B/ L temporal lobe lesion Like Kiuver-bucky syndrome ie hypersexuality, placidity, a tendency to explore the environment with mouth, inability to recognize the emotional significane of visual stimuli, & constantly shifting attention c/a hypermetamorphosis.