[Schizophrenia and partial complex seizures--case report in diagnosis and differential diagnosis of psychoses and epilepsy].
We report on a 57 year-old patient with schizophrenia. After a 30 years course of the disease, he developed previous unknown psychopathological symptoms, and therapeutic interventions (neuroleptic drugs and electroconvulsive therapy) failed. Neurological examination and EEG revealed the diagnosis of complex partial epileptic seizures. MRI showed bitemporal localized cerebral lesions. Discussion focusses on generalization of microseizures in deep brain structures, and "kindling effect" of electroconvulsive therapy in a patient with pre-existing cerebral lesions.
Kotterba
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Neurologische Klinik und Poliklinik, Ruhr-Universität Bochum, BG-Kliniken Bergmannsheil, Bundesrepublik Deutschland.
Wähner
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A
Lasar
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M
D014150:Antipsychotic Agents / Q000627:therapeutic use; D004565:Electroconvulsive Therapy; D004569:Electroencephalography; D017029:Epilepsy, Complex Partial / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D006801:Humans; D007696:Kindling, Neurologic / Q000502:physiology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D012559:Schizophrenia / Q000175:diagnosis* / Q000628:therapy; D012565:Schizophrenic Psychology; D017585:Ultrasonography, Doppler, Transcranial
D014150:Antipsychotic Agents
Schizophrenie und komplex-partielle Anfälle--Kasuistik zur Diagnose und Differentialdiagnose von Psychosen und Epilepsie.