title: [Diagnostic and therapeutic difficulties concerning patient with temporal lobe epilepsy in psychiatric practice--case report].
abstract: From psychiatric point of view temporal lobe epilepsy appears of great importance because of its psychopathological heterogeneity following its course. In the paper case history of twenty seven years old patient hospitalized at Department of Adults Psychiatry because of psychotic syndromes intensification has been described. The psychotic syndromes appeared as paroxysmal auditory hallucinations with concomitant anxiety and motor automatisms. The patient was cured with typical and atypical neuroleptic agents with previously stated diagnosis of paranoid schizophrenia, but no evident recovery was noticed. Basing on patient interview, observation and additional investigations temporal lobe epilepsy was stated. The reduction of psychotic syndromes and general health improvement was obtained by treating the patient with antiepileptic drugs and eliminating typical antipsychotic agents.
authors.affiliation: Uniwersytet Medyczny w Łodzi, Klinika Psychiatrii Dorosłych.
authors.forename: Maciej
authors.initials: M
authors.lastname: Kuśmierek
authors.forename: Antoni
authors.initials: A
authors.lastname: Florkowski
authors.forename: Piotr
authors.initials: P
authors.lastname: Wierzbiński
authors.forename: Kinga
authors.initials: K
authors.lastname: Bobińska
authors.forename: Piotr
authors.initials: P
authors.lastname: Gałecki
mesh_terms: D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001007:Anxiety / Q000209:etiology; D001332:Automatism / Q000209:etiology; D004833:Epilepsy, Temporal Lobe / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D006212:Hallucinations / Q000209:etiology; D006801:Humans; D008297:Male; D011618:Psychotic Disorders / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D017211:Treatment Failure
chemical_list: D000927:Anticonvulsants; D014150:Antipsychotic Agents