Long-term treatment and poor management of psychiatric manifestations in mesial temporal sclerosis leading to suicidality in a young male

被引：0

作者：

Verma, Archana ^{[1
]}

Kumar, Alok ^{[2
]}

Mishra, Atul ^{[3
]}

Pandey, A. K. ^{[4
]}

机构：

[1] UP Rural Inst Med Sci & Res, Dept Neurol, Etawah 206301, UP, India

[2] UP Rural Inst Med Sci & Res, Dept Forens Med & Toxicol, Etawah 206301, UP, India

[3] UP Rural Inst Med Sci & Res, Etawah 206301, UP, India

[4] UP Rural Inst Med Sci & Res, Dept Psychiat, Etawah 206301, UP, India

来源：

EPILEPSY & BEHAVIOR CASE REPORTS | 2014年 / 2卷

关键词：

Temporal lobe epilepsy; Psychiatric disorders; Drug toxicity; Suicide;

D O I：

10.1016/j.ebcr.2013.12.001

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Psychiatric disorders including anxiety, psychosis, and aggressive behaviors are frequently diagnosed in patients with epilepsy. In this communication, we report a patients with mesial temporal lobe sclerosis with interictal affective-somatoform (dysphoric) disorders who was never treated for psychiatric manifestations, and who deliberately took a massive dose of phenytoin and phenobarbitone with a motive of suicide, resulting in severe combined toxicity. Such unfortunate incidences may be prevented, and quality of life can be improved with early diagnosis, through the selection of the right antiepileptic drugs, reasonable psychiatric consultation, and appropriate biological and psychological treatments. (C) 2013. Published by Elsevier Inc. This is an open access article under the CC BY- NC- ND license

引用

页码：17 / 18

页数：2

共 14 条

[1] The interictal dysphoric disorder: recognition, pathogenesis, and treatment of the major psychiatric disorder of epilepsy [J].

Blumer, D ;

Mountouris, G ;

Davies, K .

EPILEPSY & BEHAVIOR, 2004, 5 (06) :826-840

[2] EPILEPSY AND PSYCHIATRIC DISTURBANCE - A CROSS-SECTIONAL STUDY [J].

FIORDELLI, E ;

BEGHI, E ;

BOGLIUN, G ;

CRESPI, V .

BRITISH JOURNAL OF PSYCHIATRY, 1993, 163 :446-450

[3] The psychiatric comorbidity of epilepsy [J].

Gaitatzis, A ;

Trimble, MR ;

Sander, JW .

ACTA NEUROLOGICA SCANDINAVICA, 2004, 110 (04) :207-220

[4]

Gilliam F, 2002, EPILEPSY BEHAV, V3, pS2

[5] Psychiatric issues in epilepsy [J].

Krishnamoorthy, ES .

CURRENT OPINION IN NEUROLOGY, 2001, 14 (02) :217-224

[6]

LANDOLT H, 1953, ELECTROEN CLIN NEURO, V5, P121

[7]

MANCHANDA R, 1992, AM J PSYCHIAT, V149, P1096

[8] Volumetric evidence of a left laterality effect in epileptic psychosis [J].

Marchetti, RL ;

Azevedo, D ;

Bottino, CMD ;

Kurcgant, D ;

Marques, AD ;

Marie, SKN ;

de Arruda, PCV .

EPILEPSY & BEHAVIOR, 2003, 4 (03) :234-240

[9] Psychiatric complications in patients with epilepsy: a review [J].

Marsh, L ;

Rao, V .

EPILEPSY RESEARCH, 2002, 49 (01) :11-33

[10]

Organizacion Mundial de la Salud, 2005, ATL EP CAR WORLD

← 1 2 →