[Acute change in behavior of an elderly patient due to epilepsy].
A man aged 69 years with a history of a cerebrovascular accident showed progressively strange behaviour in two weeks. There were no signs of a neurological disorder. Psychiatric examination revealed psychotic symptoms. The electro encephalogram revealed epileptic activity at the site of the old infarct. The diagnosis was 'psychotic disorder due to a non-convulsive status epilepticus'. Treatment with anti-epileptics was followed by clinical recovery. An epileptic insult must be thought of in every elderly patient with unexplained changed behaviour. A cerebrovascular accident is the main risk factor for developing an insult in elderly.
Storm
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Universiteit van Amsterdam, Faculteit der Geneeskunde.
Casteelen
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D000368:Aged; D000927:Anticonvulsants / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D002090:Butyrophenones / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004569:Electroencephalography; D006801:Humans; D008297:Male; D011618:Psychotic Disorders / Q000209:etiology*; D013226:Status Epilepticus / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D020521:Stroke / Q000150:complications*; D016896:Treatment Outcome
D000927:Anticonvulsants; D014150:Antipsychotic Agents; D002090:Butyrophenones; C005569:pipamperone