Characteristics of postictal psychosis in a psychiatric center.
The clinical characteristics of 12 cases of postictal psychosis treated at Taipei City Psychiatric Center, Taipei, Taiwan, were retrospectively reviewed. Increased seizure frequency, especially with generalized tonic-clonic seizures, was the major risk factor predisposing to postictal psychosis. The psychotic symptoms were variable with delusions and/or hallucinations. These patients showed a much longer history of epilepsy (21.9 +/- 10.7 years) prior to the development of postictal psychosis than has been previously reported. The possible mechanisms in the pathophysiology of psychosis in epileptics were discussed.
Liu
H C
HC
Department of Psychiatry, Taipei City Psychiatric Center, Taiwan. apple@mail.tcpc.gov.tw
Chen
C H
CH
Yeh
I J
IJ
Sung
S M
SM
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004830:Epilepsy, Tonic-Clonic / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008605:Mental Health Services; D008875:Middle Aged; D011618:Psychotic Disorders / Q000175:diagnosis*; D012189:Retrospective Studies; D012720:Severity of Illness Index