title: Long-term treatment and poor management of psychiatric manifestations in mesial temporal sclerosis leading to suicidality in a young male.
abstract: Psychiatric disorders including anxiety, psychosis, and aggressive behaviors are frequently diagnosed in patients with epilepsy. In this communication, we report a patients with mesial temporal lobe sclerosis with interictal affective-somatoform (dysphoric) disorders who was never treated for psychiatric manifestations, and who deliberately took a massive dose of phenytoin and phenobarbitone with a motive of suicide, resulting in severe combined toxicity. Such unfortunate incidences may be prevented, and quality of life can be improved with early diagnosis, through the selection of the right antiepileptic drugs, reasonable psychiatric consultation, and appropriate biological and psychological treatments.
authors: Department of Neurology, U.P. Rural Institute of Medical Sciences & Research, Saifai, Etawah, 206301 U.P., India.
authors: Archana
authors: A
authors: Verma
authors: Department of Forensic Medicine & Toxicology, U.P. Rural Institute of Medical Sciences & Research, Saifai, Etawah, 206301 U.P., India.
authors: Alok
authors: A
authors: Kumar
authors: U.P. Rural Institute of Medical Sciences & Research, Saifai, Etawah, 206301 U.P., India.
authors: Atul
authors: A
authors: Mishra
authors: Department of Psychiatry, U.P. Rural Institute of Medical Sciences & Research, Saifai, Etawah, 206301 U.P., India.
authors: A K
authors: AK
authors: Pandey
keywords: Drug toxicity; Psychiatric disorders; Suicide; Temporal lobe epilepsy