[Severe single manic episode due to a change in antiepileptic treatment]
Nikolaj Liboriussen Drivsholm1, Akbar Akbarzade Khoshgari2, Michael Nielsen3
1Brønderslev Psykiatriske Sygehus, Brønderslev.
Abstract:
A 68-year-old man with well-controlled epilepsy and no history of mental health issues suddenly developed severe manic symptoms. These symptoms occurred after a change in his anticonvulsant treatment from carbamazepine to levetiracetam. After discontinuing Levetiracetam and initiating valproate and olanzapine treatment, the symptoms remitted, and the patient was discharged without psychiatric symptoms. This case demonstrates an example of the sudden onset of psychiatric symptoms with an organic cause.
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