Menstrual epileptoid psychosis in an adolescent girl.
An adolescent girl with a previous history of trance-like states and a strong family history of epilepsy developed a pattern of recurrent brief psychotic episodes. These episodes seemed to coincide with her monthly menstrual periods, and after four to seven days of bizzare, catatonic behavior, she would return to a normal state. These episodes have been virtually eliminated by maintenance of a therapeutic blood level of phenytoin. The case is discussed in the light of the complex interrelationship of seizures, menstrual hormonal changes, and behavior.
D000293:Adolescent; D002389:Catatonia / Q000188:drug therapy; D004827:Epilepsy / Q000188:drug therapy; D005260:Female; D006801:Humans; D008598:Menstruation; D019965:Neurocognitive Disorders / Q000188:drug therapy; D010672:Phenytoin / Q000627:therapeutic use
D010672:Phenytoin