Acute psychosis during the postictal period in a patient with idiopathic generalized epilepsy: Postictal psychosis or aggravation of schizophrenia? A case report and review of the literature

2012 ◽  
Vol 24 (3) ◽  
pp. 373-376 ◽  
Author(s):  
Eisuke Sakakibara ◽  
Takuji Nishida ◽  
Kazuyuki Sugishita ◽  
Seiichiro Jinde ◽  
Yushi Inoue ◽  
...  
Keyword(s):  
Case Report ◽  
Acute Psychosis ◽  
Review Of The Literature ◽  
Idiopathic Generalized Epilepsy ◽  
Generalized Epilepsy

Carbamazepine-Induced Seizures: A Case Report and Review of the Literature

2002 ◽  
Vol 33 (4) ◽  
pp. 174-177 ◽  
Author(s):  
M. Gansaeuer ◽  
T. M. Alsaadi
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Mentally Retarded ◽  
Review Of The Literature ◽  
Partial Seizures ◽  
Absence Seizures ◽  
Carbamazepine Therapy ◽  
Frequent Absence ◽  
Primary Generalized Epilepsy ◽  
Generalized Epilepsy

Carbamazepine has been reported to exacerbate seizures in children with primary generalized epilepsy and epilepsy with mixed seizure types. Seizure exacerbation has been rarely observed in adults, mainly in the mentally retarded or in those with primary generalized epilepsy. We present an adult patient who had frequent absence seizures and simple partial seizures for 20 years. She was treated with carbamazepine for over 16 years. The patient's EEG showed generalized spike and wave complexes. Her seizures remitted and the EEG normalized after the discontinuation of carbamazepine therapy.

scholarly journals Loxapine-Induced Priapism: A Case Report and Review of the Literature on Antipsychotic-Induced Priapism

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Alexandra L. Dodd ◽  
Sunny Patel ◽  
David C. Fipps
Keyword(s):  
Case Report ◽  
Psychiatric Care ◽  
Acute Psychosis ◽  
Review Of The Literature ◽  
Recurrent Priapism

In this case report, a patient with schizophrenia experienced recurrent priapism while undergoing treatment of acute psychosis. This necessitated a review of the emergent treatment of priapism and discussion of the difficulties in treating priapism in a patient with acute psychosis. Therefore, this case report explores multiple possible etiologies of priapism within the realm of psychiatric care, reviews the proposed mechanisms of medication-induced priapism, and considers the psychopharmacological concepts that pertain to antipsychotic selection in the context of antipsychotic-induced priapism.

Responsive Neurostimulation of the Thalamus Improves Seizure Control in Idiopathic Generalized Epilepsy: A Case Report

Neurosurgery ◽  
2020 ◽  
Vol 87 (5) ◽  
pp. E578-E583 ◽  
Author(s):  
Vasileios Kokkinos ◽  
Alexandra Urban ◽  
Nathaniel D Sisterson ◽  
Ningfei Li ◽  
Danielle Corson ◽  
...  
Keyword(s):  
Case Report ◽  
Neural Activity ◽  
Seizure Control ◽  
Clinical Presentation ◽  
Idiopathic Generalized Epilepsy ◽  
Absence Seizures ◽  
Level Of Consciousness ◽  
Spike Wave Discharges ◽  
Generalized Epilepsy ◽  
Spike Wave

Abstract BACKGROUND AND IMPORTANCE At least 25% of patients with idiopathic generalized epilepsy do not obtain adequate seizure control with medication. This report describes the first use of responsive neurostimulation (RNS), bilaterally targeting the centromedian/ventrolateral (CM/VL) region in a patient with drug-refractory Jeavons syndrome (eyelid myoclonia with absences). CLINICAL PRESENTATION A patient, diagnosed with eyelid myoclonia with absences (EMA) and refractory to medication, was offered RNS treatment in the CM/VL region of the thalamus. Stimulation was triggered by thalamic neural activity having morphological, spectral, and synchronous features that corresponded to 3- to 5-Hz spike-wave discharges recorded on prior scalp electroencephalography. CONCLUSION RNS decreased daily absence seizures from a mean of 60 to ≤10 and maintained the patient's level of consciousness during the occurring episodes. This therapy should be evaluated further for its potential to treat patients with pharmaco-refractory generalized epilepsy.

scholarly journals A spicy status: Synthetic cannabinoid (spice) use and new-onset refractory status epilepticus—A case report and review of the literature

2017 ◽  
Vol 5 ◽  
pp. 2050313X1774520 ◽  
Author(s):  
Marc-Alain Babi ◽  
Christopher P Robinson ◽  
Carolina B Maciel
Keyword(s):  
Case Report ◽  
Status Epilepticus ◽  
Synthetic Cannabinoids ◽  
Refractory Status Epilepticus ◽  
Synthetic Cannabinoid ◽  
Severe Toxicity ◽  
Acute Psychosis ◽  
Review Of The Literature ◽  
Refractory Status ◽  
New Onset

Synthetic cannabinoids refer to a wide variety of chemicals engineered to bind cannabinoid receptors (CB1 and CB2) and mimic the effects of delta-9-tetrahydrocanabinol. The potential for severe toxicity and limited in vivo data make synthetic cannabinoid intake an important public health and safety concern. Neurologic toxidromes associated with their use include mental status changes, panic attacks, memory distortions, acute psychosis (e.g. paranoia, delusional thoughts), disorganized behavior, and suicidal and homicidal thoughts. Systemic complications include vomiting, sinus tachycardia, myocardial infarction, and acute kidney injury. Seizures are common; however, status epilepticus is not widely reported. In this case report, we describe a patient who developed acute psychosis and new-onset refractory status epilepticus necessitating emergent neurological life-support and prolonged admission to an intensive care unit following abuse of synthetic cannabinoids. We include a brief review of the literature to prepare the treating clinician for the broad clinical spectrum of this increasingly common intoxication.

scholarly journals Focal abnormalities in idiopathic generalized epilepsy: A critical review of the literature

Epilepsia ◽  
2014 ◽  
Vol 55 (8) ◽  
pp. 1157-1169 ◽  
Author(s):  
Udaya Seneviratne ◽  
Mark Cook ◽  
Wendyl D'Souza
Keyword(s):  
Critical Review ◽  
Review Of The Literature ◽  
Idiopathic Generalized Epilepsy ◽  
Generalized Epilepsy

scholarly journals The Syndrome of Absence Status Epilepsy: Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Leonilda Bilo ◽  
Sabina Pappatà ◽  
Roberto De Simone ◽  
Roberta Meo
Keyword(s):  
Epilepsy Syndrome ◽  
Review Of The Literature ◽  
Idiopathic Generalized Epilepsy ◽  
Absence Status ◽  
Generalized Epilepsy

The authors review the literature for cases fulfilling the criteria for the proposed idiopathic generalized epilepsy syndrome (IGE) of absence status epilepsy described by Genton et al. (2008). Difficulties arising in diagnosing such cases are remarked, and possible overlapping with other proposed IGE syndromes is discussed.

scholarly journals Topical tropicamide induced delirium and psychosis: case report

2010 ◽  
Vol 59 (1) ◽  
pp. 74-76 ◽  
Author(s):  
Renato P. Munhoz ◽  
Mariana M. Moscovich ◽  
Luciane Filla ◽  
Maria Cecília Beltrame Carneiro
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Female Patient ◽  
Clinical Manifestations ◽  
The Elderly ◽  
Acute Psychosis ◽  
Anticholinergic Agents ◽  
Review Of The Literature ◽  
Confusional States ◽  
Case Effect

Acute psychosis and confusional states are known complications of treatment with anticholinergic agents in the elderly. We report an 87-year-old female patient presenting with acute neurobehavioral abnormalities requiring hospitalization immediately after starting treatment for openangle glaucoma with the topic cycloplegic muscarinic receptor blocker tropicamide. Case-effect relationship was confirmed. The authors make a review of the literature trying to identify the clinical manifestations and risk factors for this complication.

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