Postictal psychosis in partial epilepsy: A case–control study

Alper, Kenneth; Kuzniecky, Ruben; Carlson, Chad; Barr, William; Vorkas, Charles Kyriakos; Patel, Jignasha; Carrelli, Angela L.; Starner, K.; Flom, Peter L.; Devinsky, Orrin

doi:10.1002/ana.21341

Cited by 46 publications

(27 citation statements)

References 38 publications

(37 reference statements)

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“…Techniques used less commonly include psychological techniques [26], exercise [27], caffeine [28], alcohol [29], or self-reported precipitants such as stress or anxiety [18,30,31]. Unintended consequences of seizure provocation were relatively rare but potentially serious and included prolonged seizures, seizure clusters, status epilepticus, cardiac arrhythmias or ischemia, postictal pyschosis, as well as other medical complications or injuries [7,9,[32][33][34][35][36][37][38].…”

Section: Methodsmentioning

confidence: 99%

A consensus-based approach to patient safety in epilepsy monitoring units: Recommendations for preferred practices

Shafer

Buelow

Noe

et al. 2012

Epilepsy & Behavior

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Section: Methodsmentioning

confidence: 99%

A consensus-based approach to patient safety in epilepsy monitoring units: Recommendations for preferred practices

Shafer

Buelow

Noe

et al. 2012

Epilepsy & Behavior

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“…Su incidencia se estima entre el 6.4% y 6.7% de la población epiléptica, siendo en algunos estudios, más frecuente que las psicosis intercomiciales (21).…”

Section: Psicosis Postcomicialesunclassified

“…También se ha detectado una asociación con antecedentes familiares de epilepsia y trastorno psiquiátricos, que a su vez se asociaban entre ellos (9,21,23). …”

Section: Psicosis Postcomicialesunclassified

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Las psicosis de la epilepsia: presentación de un caso clínico y revisión de la literatura

Perlado

Rivas

Olea

et al. 2013

Rev. Asoc. Esp. Neuropsiq.

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Recibido: 13/08/2012; aceptado con modificaciones: 17/12/2012 RESUMEN: Presentamos el caso de un varón de 72 años con un diagnóstico previo de epilepsia del lóbu-lo temporal y esquizofrenia paranoide, que mostraba episodios de psicosis con sintomatología pleomórfica y atípica que no respondía bien al tratamiento antipsicótico. El paciente no presentaba un deterioro en su personalidad y había demostrado un buen ajuste y funcionamiento social. Tras revisar el caso se llega a cuestionar el diagnóstico previo de esquizofrenia paranoide proponiendo el diagnóstico alternativo de epilepsia del lóbulo temporal: crisis comiciales con sintomatología psicótica. Se instaura el tratamiento adecuado con éxito lo que permite el alta del paciente a su domicilio. Revisamos la literatura en la materia, concluyendo que las psicosis de la epilepsia han de tenerse en cuenta en casos de psicosis atípicas, resistentes a tratamiento en personas con buen funcionamiento psico-social sin deterioro en su personalidad. PALABRAS CLAVE: epilepsia del lóbulo temporal; psicosis comiciales; psicosis de la epilepsia; psicosis de la epilepsia tipo esquizofrenia. CONFLICTO DE INTERESES: Ninguno.ABSTRACT: We describe the case of a 72 year old man with a diagnosis of temporal lobe epilepsy and paranoid schizophrenia, who presented atypical psychotic episodes which did not respond to anti-psychotic medication. His personality had not deteriorated and he showed good social adjustment and functioning. After reviewing the case, we challenged the diagnosis of paranoid schizophrenia, proposing an alternative diagnosis of temporal lobe epilepsy with ictal psychosis. He was successfully treated and discharged home. We review the literature on the subject. The psychosis of epilepsy are a diagnostic option which must be seriously considered in cases of treatment resistant atypical psychosis in subjects with good pre-morbid functioning and social adjustment free from personality decline. KEY WORDS: temporal lobe epilepsy; ictal psychosis; psychosis of epilepsy; schizophrenia like psychosis of epilepsy. DECLARATION OF INTEREST: None.

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“…Sa druge strane, u grupi koja je analizirala statistički znakove samo kod temporalnih epilepsija, motorna agitacija, ali kao iktalni znak bila je vrlo česta (preko 80%) (50). U pokušaju da identifikuju prediktivne faktore postiktalne psihoze kod bolesnika sa fokalnom epilepsijom, autori su pokazali da je ista češća kod ekstratemporalnih u odnosu na temporalne epilepsije, kod bolesnika sa bilateralnim interiktalnim praženjenjima, čestim sekundarnim generalizovanim napadima i anamnezom encefalitisa (256). Dakle, malo je verovatno da postiktalna agitacija predstavlja neku vrstu minornog psihotičnog ispoljavanja, ukoliko su poređenja adekvatna.…”

Section: Odnos Lokalizacije Epileptogene Lezije Mezijalnom Temporalnounclassified

Correlation of the patterns of behavior in focal epileptic seizures and localization of the epileptic lesions

Ristić¹

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Postictal psychosis in partial epilepsy: A case–control study

Abstract: PIP in partial epilepsy is associated with relatively broadly and bilaterally distributed epileptogenic networks, genetic determinants of psychiatric disorders and seizures, and encephalitis.

Cited by 46 publications

References 38 publications

A consensus-based approach to patient safety in epilepsy monitoring units: Recommendations for preferred practices

A consensus-based approach to patient safety in epilepsy monitoring units: Recommendations for preferred practices

Las psicosis de la epilepsia: presentación de un caso clínico y revisión de la literatura

Correlation of the patterns of behavior in focal epileptic seizures and localization of the epileptic lesions

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