[Postictal paranoid-hallucinatory psychosis in cryptogenic epilepsy].
BACKGROUND
Postictal psychosis is an important complication inpatients with epilepsy.


METHODS
We report a male patient with pre-existing epilepsy who developed acute psychosis with delusions and acoustic hallucinations, two days after a prolonged complex-partial seizure. Upon treatment with diazepam and haloperidol, the psychosis subsided within three days.


RESULTS
The optimation of antiepileptic drugs is the main point to prevent seizures and postictal psychotic episodes in epilepsy.


CONCLUSIONS
This case shows that close collaboration between neurologists and psychiatrists on epilepsy associated psychoses is decisive for an optimal success of therapy.
Baum
Petra
P
Klinik für Neurologie, Universität Leipzig.
Kopf
Andrea
A
Hermann
Wieland
W
Wagner
Armin
A
D000208:Acute Disease; D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D003299:Cooperative Behavior; D003702:Delusions / Q000188:drug therapy / Q000209:etiology; D003975:Diazepam / Q000627:therapeutic use; D004827:Epilepsy / Q000150:complications*; D017029:Epilepsy, Complex Partial / Q000150:complications*; D006212:Hallucinations / Q000188:drug therapy / Q000209:etiology*; D006220:Haloperidol / Q000627:therapeutic use; D006760:Hospitalization; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D009462:Neurology / Q000379:methods; D011570:Psychiatry / Q000379:methods; D011618:Psychotic Disorders / Q000188:drug therapy / Q000209:etiology*; D012563:Schizophrenia, Paranoid / Q000188:drug therapy / Q000209:etiology; D016896:Treatment Outcome
D000927:Anticonvulsants; D006220:Haloperidol; D003975:Diazepam