This paper gives a brief review of psychomotor epilepsy, one of the most common forms of epilepsy manifestations. The psychopathology which is seen with psychomotor epilepsy includes the greatest part of known pathological psychic manifestations with epilepsy in general. Here, a patient is presented with psychomotor epilepsy since his youth. In the last eight years, psychotic manifestations appear with him from time to time, they are not related with epileptic seizures, and phenomenology-wise, the clinical manifestation is that of paranoid schizophrenia. In the end there is a stress on differential diagnosis hardships in the telling apart of epileptic psychoses without mind disorders from endogenic psychoses.