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[Postictal paranoid-hallucinatory psychosis in cryptogenic epilepsy]
Petra Baum1, Andrea Kopf, Wieland Hermann
1Klinik für Neurologie, Universität Leipzig.
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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