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POSTICTAL PSYCHOSIS CASE CONTROL STUDY. INTRODUCTION. patients with long – standing history of seizures are more susceptible to develop psychiatric disorders, including postictal and interictal psychosis. . THE CASE.
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INTRODUCTION patients with long – standing history of seizures are more susceptible to develop psychiatric disorders, including postictal and interictal psychosis.
THE CASE • A 30 years old male with long – standing history of epilepsy ( over 15 years ) walked into the out-pt. shouting, hallucinating, with aggressive behavior. • Held by his relatives enchanting Islamic slogans, laughing at times and threatening at times.
According to his relatives this is the 3rd attack of psychosis and the longest. • He stopped taking his medication few months back. • Then he developed a generalized seizure followed by a lucid period of 2 days, then he became psychotic for a day and returned to normal.
- This scenario repeated itself again with quick recovery. - The present episode lasted long ( over 2 days ) which made them – the relatives- bring him to out-pt.
- pt. was restarted on his antiepileptic medication ( sod. Valproate ) and was put on low dose of antipsychotic medication mainly resperidone 3 mg. od.
- His relatives were advised to give him after his recovery 1/2tab. Resperidone for a month along with his antiepileptic medication.