[Diagnostic and therapeutic difficulties concerning patient with temporal lobe epilepsy in psychiatric practice--case report].

Abstract

From psychiatric point of view temporal lobe epilepsy appears of great importance because of its psychopathological heterogeneity following its course. In the paper case history of twenty seven years old patient hospitalized at Department of Adults Psychiatry because of psychotic syndromes intensification has been described. The psychotic syndromes appeared as paroxysmal auditory hallucinations with concomitant anxiety and motor automatisms. The patient was cured with typical and atypical neuroleptic agents with previously stated diagnosis of paranoid schizophrenia, but no evident recovery was noticed. Basing on patient interview, observation and additional investigations temporal lobe epilepsy was stated. The reduction of psychotic syndromes and general health improvement was obtained by treating the patient with antiepileptic drugs and eliminating typical antipsychotic agents.

• Authors: Maciej Kuśmierek, Antoni Florkowski, Piotr Wierzbiński, Kinga Bobińska, Piotr Gałecki
• Journal: Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego (Pol Merkur Lekarski) Vol. 26 Issue 156 Pg. 649-51 (Jun 2009) ISSN: 1426-9686 [Print] Poland
• Vernacular Title: Trudności diagnostyczne i terapeutyczne u chorego na padaczke skroniowa w praktyce psychiatrycznej--opis przypadku.
• PMID: 19711735 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Anticonvulsants
• Antipsychotic Agents

Topics

• Adult
• Anticonvulsants (therapeutic use)
• Antipsychotic Agents (therapeutic use)
• Anxiety (etiology)
• Automatism (etiology)
• Epilepsy, Temporal Lobe (complications, diagnosis, drug therapy)
• Hallucinations (etiology)
• Humans
• Male
• Psychotic Disorders (diagnosis, etiology, prevention & control)
• Treatment Failure