Esang Michael, Kotapati Vijaya Padma, Ahmed Saeed
Behavioral Health Sciences, Nassau University Medical Center, East Meadow, USA.
Psychiatry, Manhattan Psychiatric Center.
Cureus. 2018 Apr 5;10(4):e2432. doi: 10.7759/cureus.2432.
Forced normalization is the emergence of psychoses following stabilization of seizures in an uncontrolled epileptic patient. The current study is a case of forced normalization, a phenomenon characterized by normalization of electroencephalogram (EEG) findings and resolution of seizures. This case report is unique and rare because the patient meets the diagnostic merit of forced normalization, which occurred due to a nonconventional method of seizure control management. We discuss the recognition and differential diagnoses of such cases, understanding the phenomenon of forced normalization and treatment strategies, which may help clinicians in their clinical practice.
强制性正常化是指在未得到控制的癫痫患者癫痫发作稳定后出现精神病性症状。本研究是一例强制性正常化病例，该现象的特征是脑电图（EEG）结果正常化及癫痫发作缓解。本病例报告独特且罕见，因为该患者符合强制性正常化的诊断标准，其发生是由于一种非传统的癫痫控制管理方法。我们讨论此类病例的识别与鉴别诊断、对强制性正常化现象的理解及治疗策略，这可能有助于临床医生的临床实践。
