Temporal lobe epilepsy masquerading as psychosis - a case report and literature review |
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Authors: | Needham Edward Hamelijnck Jacobus |
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Institution: | a Norfolk and Norwich University Hospital , Norwich , UK. |
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Abstract: | The psychoses of epilepsy are well recognized complications of seizure disorders, diagnosed easily from the history. However, in the absence of recognized seizures, the diagnosis can be challenging. We present a 27-year-old female, who suffered a treatment refractory psychosis for 6 years. She did not report, or display, any seizure activity, and extensive investigation was unremarkable. The onset of new symptoms prompted a repeat work-up which clinched the diagnosis of psychosis of epilepsy. Treatment with Lamotrigine and Amisulpiride achieved an excellent response, and she has remained symptom free for 7 months. We conclude with a brief literature review. |
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