Postictal psychosis in epilepsy - A case report

被引：1
作者：
Baum, Petra
Kopf, Andrea
Hermann, Wieland
Wagner, Armin
机构：
[1] Univ Leipzig, Neurol Klin, D-04103 Leipzig, Germany
[2] Univ Leipzig, Psychiat Klin, Leipzig, Germany
来源：
PSYCHIATRISCHE PRAXIS | 2007年 / 34卷 / 05期
关键词：
postictal psychosis; epilepsy; psychosis;
D O I：
10.1055/s-2006-940067
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Background Postictal psychosis is an important complication in patients with epilepsy. Method We report a male patient with pre-existing epilepsy who developed acute psychosis with delusions and acoustic hallucinations, two days after a prolonged complex-partial seizure. Upon treatment with diazepam and haloperidol, the psychosis subsided within three days. Result The optimation of antiepileptic drugs is the main point to prevent seizures and postictal psychotic episodes in epilepsy. Conclusion This case shows that close collaboration between neurologists and psychiatrists on epilepsy associated psychoses is decisive for an optimal success of therapy.
引用
收藏
页码：249 / 252
页数：4
相关论文
共 19 条
[1]   Psychoses and epilepsy: Are interictal and postictal psychoses distinct clinical entities? [J].
Adachi, N ;
Matsuura, M ;
Hara, T ;
Oana, Y ;
Okubo, Y ;
Kato, M ;
Onuma, T .
EPILEPSIA, 2002, 43 (12) :1574-1582
[2]   Premorbid psychiatric risk factors for postictal psychosis [J].
Alper, K ;
Devinsky, O ;
Westbrook, L ;
Luciano, D ;
Pacia, S ;
Perrine, K ;
Vazquez, B .
JOURNAL OF NEUROPSYCHIATRY AND CLINICAL NEUROSCIENCES, 2001, 13 (04) :492-499
[3]   Postictal psychosis after temporal lobectomy [J].
Christodoulou, C ;
Koutroumanidis, M ;
Hennessy, MJ ;
Elwes, RDC ;
Polkey, CE ;
Toone, BK .
NEUROLOGY, 2002, 59 (09) :1432-1435
[4]   Psychiatric comorbidity in chronic epilepsy: Identification, consequences, and treatment of major depression [J].
Hermann, BP ;
Seidenberg, M ;
Bell, B .
EPILEPSIA, 2000, 41 :S31-S41
[5]   Postictal psychosis: A comparison with acute interictal and chronic psychoses [J].
Kanemoto, K ;
Kawasaki, J ;
Kawai, I .
EPILEPSIA, 1996, 37 (06) :551-556
[6]   Characteristics of temporal lobe epilepsy with mesial temporal sclerosis, with special reference to psychotic episodes [J].
Kanemoto, K ;
Takeuchi, J ;
Kawasaki, J ;
Kawai, I .
NEUROLOGY, 1996, 47 (05) :1199-1203
[7]  
Kanemoto K, 2002, NEUROPSYCHIATRY EPIL, p117 131
[8]   Prevalence and clinical characteristics of postictal psychiatric symptoms in partial epilepsy [J].
Kanner, AM ;
Soto, A ;
Gross-Kanner, H .
NEUROLOGY, 2004, 62 (05) :708-713
[9]   Forced normalization at the interface between epilepsy and psychiatry [J].
Krishnamoorthy, ES ;
Trimble, MR ;
Sander, JWAS ;
Kanner, AM .
EPILEPSY & BEHAVIOR, 2002, 3 (04) :303-308
[10]  
LANDOLT H, 1953, ELECTROEN CLIN NEURO, V5, P121
12