Postictal Psychosis: Case Report and Literature Review

Postictal psychosis (PIP) is one of the most common types of psychosis in epileptic patients. By virtue of the paucity of research on PIP, its pathophysiology remains not completely understood. Our case report describes a clinical picture of PIP, characterized by pleomorphic features, with neither S...

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Main Authors: Joana Regala, João Lourenço, Francisco Moniz-Pereira, António Bento
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2023/7960227
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author Joana Regala
João Lourenço
Francisco Moniz-Pereira
António Bento
author_facet Joana Regala
João Lourenço
Francisco Moniz-Pereira
António Bento
author_sort Joana Regala
collection DOAJ
description Postictal psychosis (PIP) is one of the most common types of psychosis in epileptic patients. By virtue of the paucity of research on PIP, its pathophysiology remains not completely understood. Our case report describes a clinical picture of PIP, characterized by pleomorphic features, with neither Schneider’s first-rank symptoms nor negative symptoms of schizophrenia, in a longstanding epileptic female patient with a history of nonadherence to antiepileptic treatment and poorly controlled seizures. Additionally, she had previous cognitive impairment and encephalomalacia in the right parietooccipital region as a sequela of a moderate-to-severe traumatic brain injury known to precede the emergence of the epilepsy. In light of our findings, we critically reviewed the current literature on postictal psychoses providing insight into its neurobiological underpinnings.
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institution Kabale University
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series Case Reports in Psychiatry
spelling doaj-art-0768cad411e541bbb607eb1726e84f0a2025-02-03T06:42:46ZengWileyCase Reports in Psychiatry2090-68382023-01-01202310.1155/2023/7960227Postictal Psychosis: Case Report and Literature ReviewJoana Regala0João Lourenço1Francisco Moniz-Pereira2António Bento3Department of PsychiatryDepartment of NeurologyDepartment of PsychiatryDepartment of PsychiatryPostictal psychosis (PIP) is one of the most common types of psychosis in epileptic patients. By virtue of the paucity of research on PIP, its pathophysiology remains not completely understood. Our case report describes a clinical picture of PIP, characterized by pleomorphic features, with neither Schneider’s first-rank symptoms nor negative symptoms of schizophrenia, in a longstanding epileptic female patient with a history of nonadherence to antiepileptic treatment and poorly controlled seizures. Additionally, she had previous cognitive impairment and encephalomalacia in the right parietooccipital region as a sequela of a moderate-to-severe traumatic brain injury known to precede the emergence of the epilepsy. In light of our findings, we critically reviewed the current literature on postictal psychoses providing insight into its neurobiological underpinnings.http://dx.doi.org/10.1155/2023/7960227
spellingShingle Joana Regala
João Lourenço
Francisco Moniz-Pereira
António Bento
Postictal Psychosis: Case Report and Literature Review
Case Reports in Psychiatry
title Postictal Psychosis: Case Report and Literature Review
title_full Postictal Psychosis: Case Report and Literature Review
title_fullStr Postictal Psychosis: Case Report and Literature Review
title_full_unstemmed Postictal Psychosis: Case Report and Literature Review
title_short Postictal Psychosis: Case Report and Literature Review
title_sort postictal psychosis case report and literature review
url http://dx.doi.org/10.1155/2023/7960227
work_keys_str_mv AT joanaregala postictalpsychosiscasereportandliteraturereview
AT joaolourenco postictalpsychosiscasereportandliteraturereview
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AT antoniobento postictalpsychosiscasereportandliteraturereview