title: Temporal lobe epilepsy masquerading as psychosis--a case report and literature review.
abstract: The psychoses of epilepsy are well recognized complications of seizure disorders, diagnosed easily from the history. However, in the absence of recognized seizures, the diagnosis can be challenging.   We present a 27-year-old female, who suffered a treatment refractory psychosis for 6 years. She did not report, or display, any seizure activity, and extensive investigation was unremarkable. The onset of new symptoms prompted a repeat work-up which clinched the diagnosis of psychosis of epilepsy.   Treatment with Lamotrigine and Amisulpiride achieved an excellent response, and she has remained symptom free for 7 months.   We conclude with a brief literature review.
authors: Norfolk and Norwich University Hospital, Norwich, UK. edneedham@doctors.org.uk
authors: Edward
authors: E
authors: Needham
authors: Jacobus
authors: J
authors: Hamelijnck
mesh_terms: D000328:Adult; D000077582:Amisulpride; D000927:Anticonvulsants / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004833:Epilepsy, Temporal Lobe / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D000077213:Lamotrigine; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D013469:Sulpiride / Q000031:analogs & derivatives / Q000627:therapeutic use; D016896:Treatment Outcome; D014227:Triazines / Q000627:therapeutic use
chemical_list: D000927:Anticonvulsants; D014150:Antipsychotic Agents; D014227:Triazines; D013469:Sulpiride; D000077582:Amisulpride; D000077213:Lamotrigine