Wells C E
Arch Gen Psychiatry. 1975 Sep;32(9):1201-3. doi: 10.1001/archpsyc.1975.01760270133019.
Transient psychotic episodes may result from continuous cerebral epileptiform discharges unaccompanied by clinically observed seizures. Such episodes may mimic depressive, hysterical and schizophrenic psychosis and delirium. I describe two patients here and review eight patient histories from the literature. Diagnosis is established by use of electroencephalography during the psychotic episode. Correct diagnosis is essential because specific treatment is available and additional episodes may be prevented by appropriate long-term anticonvulsant therapy.
短暂性精神病发作可能由持续的大脑癫痫样放电引起,而临床上未观察到癫痫发作。此类发作可能类似抑郁性、癔症性和精神分裂症性精神病以及谵妄。我在此描述两名患者,并回顾文献中的八例患者病史。在精神病发作期间通过脑电图检查来确立诊断。正确诊断至关重要,因为有特定的治疗方法,且适当的长期抗惊厥治疗可预防再次发作。