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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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