Catatonic psychosis related to forced normalization in a girl with Dravet's syndrome.
It has been reported that the clinical presentation of forced normalization can vary from paranoid hallucinatory states to anxiety and conversion phenomena, and that it may occur in both generalised and focal epilepsies. On the basis of the evaluation of a video recording, we found that forced normalization was concomitant with catatonic psychosis in a patient with epilepsy, intellectual disability and pervasive developmental disorder. Catatonic psychosis accompanying forced normalization has not been previously reported. As the psychotic symptoms and quality of life worsen seizure control improves, we believe it may be better for the patient to tolerate some seizures, thus preserving their capacity to interact socially.
Gobbi
Giuseppe
G
Child Neurology and Psychiatry Unit, Neuroscience Department, Maggiore Hospital, Bologna, Italy. giuseppe.gobbi@ausl.bologna.it
Giovannini
Simona
S
Boni
Antonella
A
Visconti
Paola
P
Beghi
Massimiliano
M
Cornaggia
Cesare Maria
CM
D000293:Adolescent; D000927:Anticonvulsants / Q000009:adverse effects* / Q000627:therapeutic use*; D002653:Child Behavior Disorders / Q000150:complications / Q000523:psychology; D002659:Child Development Disorders, Pervasive / Q000150:complications / Q000523:psychology; D004569:Electroencephalography; D004831:Epilepsies, Myoclonic / Q000150:complications / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006801:Humans; D007223:Infant; D008607:Intellectual Disability / Q000150:complications / Q000523:psychology; D012560:Schizophrenia, Catatonic / Q000209:etiology*; D012640:Seizures / Q000209:etiology; D013577:Syndrome
D000927:Anticonvulsants