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Relapse of postictal psychosis following 14-year symptom-free period

Published online by Cambridge University Press:  13 June 2014

Chimdi Uhoegbu ,
Rosaleen Lannon ,
Colm Cooney ,
Aideen Freyne  and
Diarmuid O'Shea
Chimdi Uhoegbu*
Affiliation:
St Vincent's University Hospital, Dublin, Ireland
Rosaleen Lannon
Affiliation:
St Vincent's University Hospital, Dublin, Ireland
Colm Cooney
Affiliation:
St Vincent's University Hospital, Dublin, Ireland
Aideen Freyne
Affiliation:
St Vincent's University Hospital, Dublin, Ireland
Diarmuid O'Shea
Affiliation:
St Vincent's University Hospital, Dublin, Ireland
*
*Correspondence Email: [email protected]
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Abstract

Neuropsychiatric sequelae in patients with epilepsy have been vastly studied and documented. These may be affective, cognitive or psychotic. Certain risk factors may predispose some epileptics more to these sequelae. In general, good epileptic control may minimize these outcomes. We present in this report, a case of postictal psychosis (PIP), superimposed on delirium, in a 68-year-old woman, with history of a single previous psychotic illness following a cluster of seizures. This report shows a collaborative management of the neuropsychiatric complications of temporal lobe epilepsy (TLE), by the neurology, geriatric medicine and psychiatry teams.

Keywords

PostictalInterictal psychosisDeliriumTemporalLobeEpilepsy
Type
Case report
Information
Irish Journal of Psychological Medicine , Volume 28 , Issue 3 , September 2011 , pp. 171 - 173
Copyright
Copyright © Cambridge University Press 2011

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References

1.Marino, J, Augsten, A, Henry, J. Postictal Psychosis Successfully Treated with Quetiapine: A Case Report: published online August 18, 2009. Available at www.theannals.com. DOI10. 134/aph. IM208Google Scholar
2.Nadkarni, S, Arnedo, V, Devinsky, O. Psychosis in epilepsy patients. Epilepsia 2009; 48(suppl. 9): 17–19CrossRefGoogle Scholar
3.Logsdail, SJ, Toone, BK. Post-ictal psychoses. A clinical and phenomenological description. Br J Psychiatry. 1988; 152:246–252CrossRefGoogle ScholarPubMed
4.Alper, K, Devinsky, O, Westbrook, L, Luciano, D, Pacia, S, Perine, K, Vazquez, B. Premorbid psychiatric risk factors for postictal psychosis. J Neuropsychiatry Clin Neurobiol. 2001; 13(4): 492–9CrossRefGoogle ScholarPubMed
5.Adachi, N, Onuma, T, Nishiwaki, S, Murauchi, S, Akanuma, N, Ishida, S, Takei, N. Interictal and post-ictal psychoses in frontal lobe epilepsy: A retrospective comparison with psychoses in temporal lobe epilepsy. Seizure. 9: 328–335CrossRefGoogle Scholar
6.Devinsky, O. Postictal Psychosis: Common, Dangerous, and Treatable. Epilepsy Curr. 2008; 8((2): 31–34CrossRefGoogle ScholarPubMed
7.Leutmezer, F, Podreka, I, Asenbaum, S, Pietrzyk, U, Lucht, H, Back, C, Baumgartner, C. Postictal psychosis in temporal lobe epilepsy. Epilepsia. 2003; 44(4): 582–90CrossRefGoogle ScholarPubMed
8.Fong, GCY, Ho, WY, Tsoi, TH, Fong, KY, Ho, SL. Lateral Temporal Hyperperfusion in Postictal Psychosis Assessed by 99mTc-HMPAO SPECT Neuroimage. 2002; 17(3): 1634–1637Google Scholar
9.LaFrance, WCJ, Kenner, AM, Hermann, B. Psychiatric co-morbidities in epilepsy. Int Rev Neurobiol. 2008; 83:347–83CrossRefGoogle Scholar
10.Fukuchi, T, Kanemoto, K, Kato, M, Ishida, S, Yuasa, S, Kawasaki, J, Suzuki, S, Onuma, T. Death in epilepsy with special attention to suicide cases. Epilepsy Research; 51(3): 233–236CrossRefGoogle Scholar
11.American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th edition; Washington, DC, American Psychiatric Association, 1994Google Scholar
12.Morrow, EM, Lafayette, JM, Bromfield, EB, Fricchione, G. Postictal Psychosis: presymptomatic risk factors and the need for further investigation of genetics and pharmacotherapy. Ann Gen Psychiatry. 2006; 5:9CrossRefGoogle ScholarPubMed
13.Lambrey, S, Adam, C, Baulac, M, Dupont, S. Post ictal psychosis syndrome: A clinical entity to be recognized. Journal Revue Neurologique. 2009; 165(2): 155–163CrossRefGoogle ScholarPubMed