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
Journal:
Revista de la Asociación Española de Neuropsiquiatría

ISSN: 0211-5735

Year of publication: 2013

Volume: 33

Issue: 118

Pages: 361-375

Type: Article

DOI: 10.4321/S0211-57352013000200010 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista de la Asociación Española de Neuropsiquiatría

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Abstract

We describe the case of a 72 year old man with a diagnosis of temporal lobe epilepsy and paranoid schizophrenia, who presented atypical psychotic episodes which did not respond to anti-psychotic medication. His personality had not deteriorated and he showed good social adjustment and functioning. After reviewing the case, we challenged the diagnosis of paranoid schizophrenia, proposing an alternative diagnosis of temporal lobe epilepsy with ictal psychosis. He was successfully treated and discharged home. We review the literature on the subject. The psychosis of epilepsy are a diagnostic option which must be seriously considered in cases of treatment resistant atypical psychosis in subjects with good pre-morbid functioning and social adjustment free from personality decline.

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