FORCED NORMALIZATION: Epilepsy and Psychosis Interaction
Muruga A Loganathan1, Manasa Enja1, Steven Lippmann1
1Dr. Loganathan is a resident in the Department of Psychiatry, Allegheny General Hospital, Pittsburgh, Pennsylvania; Dr. Enja is an observer physician in the Department of Psychiatry, University of Louisville, Louisville, Kentucky; and Dr. Lippmann is Professor, Department of Psychiatry, University of Louisville, Louisville, Kentucky.
Abstract:
Forced normalization is the emergence of psychoses following the establishment of seizure control in an uncontrolled epilepsy patient. Two illustrative clinical vignettes are provided about people with epilepsy that was newly controlled and followed by emergence of a psychosis; symptoms appeared only after attaining ictal control. For recognition and differential diagnosis purposes, understanding forced normalization is important in clinical practice.
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