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Postictal psychosis in a child.

A Nissenkorn1, M Moldavsky, M Lorberboym

  • 1Pediatrics Department, Wolfson Medical Center, Holon Sackler Medical School, Tel-Aviv University, Israel.

Journal of Child Neurology
|December 30, 1999
PubMed
Summary

Postictal psychosis, a brief psychotic episode after seizures, is described for the first time in a child. This case highlights a potential link between childhood epilepsy and psychosis.

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Area of Science:

  • Neurology
  • Child Psychiatry

Background:

  • Postictal psychosis is a known complication of epilepsy in adults, typically occurring after poorly controlled partial complex seizures.
  • It often follows a lucid interval and is associated with underlying structural brain abnormalities, frequently involving the temporal lobe.

Observation:

  • This report details a 9-year-old boy with a history of neonatal stroke and right hemiparesis who experienced status epilepticus.
  • Following the seizure cluster, he developed a schizophrenia-like psychosis with a lucid interval.

Findings:

  • Electroencephalography indicated left-sided slowing, and neuroimaging revealed left hemisphere hypoplasia and reduced perfusion in the left medial temporal lobe.
  • The child's psychosis resolved spontaneously within 7 days without antipsychotic medication.

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Implications:

  • This case represents the first documented instance of postictal psychosis in a pediatric patient.
  • It suggests that postictal psychosis may occur in children with epilepsy and underlying brain abnormalities, warranting further investigation.