Postictal Psychosis: Case Report and Literature Review

Postictal psychosis (PIP) is one of the most common types of psychosis in epileptic patients. By virtue of the paucity of research on PIP, its pathophysiology remains not completely understood. Our case report describes a clinical picture of PIP, characterized by pleomorphic features, with neither S...

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Bibliographic Details
Published inCase reports in psychiatry Vol. 2023; pp. 1 - 4
Main Authors Regala, Joana, Lourenço, João, Moniz-Pereira, Francisco, Bento, António
Format Journal Article
LanguageEnglish
Published New York Hindawi 2023
Hindawi Limited
Subjects
Brain damage
Case Report
Case reports
Cognitive ability
Consciousness
Convulsions & seizures
Electroencephalography
Epilepsy
Hallucinations
Hospitalization
Magnetic resonance imaging
Neural networks
Neurology
Patients
Psychosis
Schizophrenia
Traumatic brain injury
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Summary:Postictal psychosis (PIP) is one of the most common types of psychosis in epileptic patients. By virtue of the paucity of research on PIP, its pathophysiology remains not completely understood. Our case report describes a clinical picture of PIP, characterized by pleomorphic features, with neither Schneider’s first-rank symptoms nor negative symptoms of schizophrenia, in a longstanding epileptic female patient with a history of nonadherence to antiepileptic treatment and poorly controlled seizures. Additionally, she had previous cognitive impairment and encephalomalacia in the right parietooccipital region as a sequela of a moderate-to-severe traumatic brain injury known to precede the emergence of the epilepsy. In light of our findings, we critically reviewed the current literature on postictal psychoses providing insight into its neurobiological underpinnings.
Bibliography:Academic Editor: Lut Tamam
ISSN:2090-682X
2090-6838
DOI:10.1155/2023/7960227