tailieunhanh - Báo cáo y học: "Postictal psychosis: presymptomatic risk factors and the need for further investigation of genetics and pharmacotherapy"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Postictal psychosis: presymptomatic risk factors and the need for further investigation of genetics and pharmacotherapy. | Annals of General Psychiatry BioMed Central Open Access Case report Postictal psychosis presymptomatic risk factors and the need for further investigation of genetics and pharmacotherapy Eric M Morrow 1 Jennifer M Lafayette1 Edward B Bromfield2 and Gregory Fricchione1 Address Department of Psychiatry Massachusetts General Hospital Boston MA 02114 USA and 2Division of Epilepsy and EEG Department of Neurology Brigham and Women s Hospital 75 Francis Street Boston MA 02115 USA Email Eric M Morrow - emorrow@ Jennifer M Lafayette - jlafayette@ Edward B Bromfield - ebromfield@ Gregory Fricchione - gfricchione@ Corresponding author Published 21 July 2006 Received 11 July 2005 Annals of General Psychiatry 2006 5 9 doi 1744-859X-5-9 Accepted 21 July 2006 This article is available from http content 5 1 9 2006 Morrow et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Postictal psychosis PIP an episode of psychosis occurring after a cluster of seizures is common and may be associated with profound morbidity including chronic psychosis. Symptoms are often pleomorphic involving a range of psychotic symptoms including hallucinations and disorders of thought. PIP is treatable and may be averted if presymptomatic risk factors are considered in susceptible patients and treatment is initiated. Case presentation In this report we present an illustrative case of PIP. The patient Mr. R presented to our emergency room with delusions and disordered thought process following a cluster of seizures. He recovered after admission sedation and treatment with antipsychotic medication. Discussion A list of presymptomatic risk factors is .