title: Clinical Usefulness of Aripiprazole and Lamotrigine in Schizoaffective Presentation of Tuberous Sclerosis.
abstract: Tuberous sclerosis is not as rare as once thought and has high psychiatric comorbidities. However, bipolar or psychotic features associated with tuberous sclerosis have been rarely reported. This report first presents a tuberous sclerosis patient, resembling a schizoaffective disorder of bipolar type. A patient with known tuberous sclerosis displayed mood fluctuation and psychotic features. Her symptoms did not remit along with several psychiatric medications. After hospitalization, the patient responded well with lamotrigine and aripiprazole without exacerbation. As demonstrated in this case, tuberous sclerosis may also encompass bipolar affective or psychotic features. We would like to point out the necessity to consider bipolarity in evaluating and treating tuberous sclerosis.
authors.affiliation: Department of Psychiatry, Uijeongbu St. Mary's Hospital, Uijeongbu, Korea.
authors.forename: Seung-Yup
authors.initials: SY
authors.lastname: Lee
authors.affiliation: Department of Psychiatry, Seoul St. Mary's Hospital, Seoul, College of Medicine, The Catholic University of Korea, Korea.
authors.forename: Jung-Ah
authors.initials: JA
authors.lastname: Min
authors.affiliation: Department of Pediatrics, Seoul St. Mary's Hospital, Seoul, College of Medicine, The Catholic University of Korea, Korea.
authors.forename: In Goo
authors.initials: IG
authors.lastname: Lee
authors.affiliation: Department of Psychiatry, Seoul St. Mary's Hospital, Seoul, College of Medicine, The Catholic University of Korea, Korea.
authors.forename: Jung Jin
authors.initials: JJ
authors.lastname: Kim
keywords: Aripiprazole; Lamotrigine; Schizoaffective disorder; Tuberous sclerosis