[Postictal paranoid-hallucinatory psychosis in cryptogenic epilepsy]

Petra Baum, Andrea Kopf, Wieland Hermann, Armin Wagner
Psychiatrische Praxis 2007, 34 (5): 249-57

BACKGROUND: Postictal psychosis is an important complication inpatients 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.

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