Las psicosis de la epilepsiapresentación de un caso clínico y revisión de la literatura

  1. Lázaro Perlado, Fernando
  2. Conde Rivas, M.
  3. Caminero Olea, Victoria
  4. Baraia-Zarra Ruiz, Jon
Revista:
Revista de la Asociación Española de Neuropsiquiatría

ISSN: 0211-5735

Año de publicación: 2013

Volumen: 33

Número: 118

Páginas: 361-375

Tipo: Artículo

DOI: 10.4321/S0211-57352013000200010 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista de la Asociación Española de Neuropsiquiatría

Objetivos de desarrollo sostenible

Resumen

Presentamos el caso de un varón de 72 años con un diagnóstico previo de epilepsia del lóbulo temporal y esquizofrenia paranoide, que mostraba episodios de psicosis con sintomatología pleomórfica y atípica que no respondía bien al tratamiento antipsicótico. El paciente no presentaba un deterioro en su personalidad y había demostrado un buen ajuste y funcionamiento social. Tras revisar el caso se llega a cuestionar el diagnóstico previo de esquizofrenia paranoide proponiendo el diagnóstico alternativo de epilepsia del lóbulo temporal: crisis comiciales con sintomatología psicótica. Se instaura el tratamiento adecuado con éxito lo que permite el alta del paciente a su domicilio. Revisamos la literatura en la materia, concluyendo que las psicosis de la epilepsia han de tenerse en cuenta en casos de psicosis atípicas, resistentes a tratamiento en personas con buen funcionamiento psico-social sin deterioro en su personalidad

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