Psychosis and temporal lobe epilepsy-role of electroconvulsive therapy.
A 49-year-old female presented for admission with features of being withdrawn, inability to comprehend questions, auditory hallucinations and disorganised thoughts. She also had a previous diagnosis of temporal lobe epilepsy. She did not respond well to psychotropic medications. During her sleep deprived EEG, she had a brief episode of seizures. Following this, she showed improvement in psychosis for a day or so. Based on this finding, it was decided to initiate a course of electroconvulsive therapy. She improved remarkably on six treatments. At the time of discharge, she was in a stable condition.
Psychiatry Department, Memorial University of Newfoundland, St John's, Canada.
Naomi Mifflen
NM
Anderson
Amin
A
Gadit
D004565:Electroconvulsive Therapy; D004833:Epilepsy, Temporal Lobe / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011618:Psychotic Disorders / Q000150:complications* / Q000188:drug therapy / Q000628:therapy*