发作后躁狂与发作后精神病
Postictal Mania Versus Postictal Psychosis.
作者信息
Rizvi Sukaina, Farooq Faiza, Shagufta Shanila, Khan Ali M, Masood Yasir, Saeed Hina
机构信息
Psychiatry, Kings County Hospital Center, Brooklyn, USA.
Psychiatry, Dow Medical College, Karachi, PAK.
出版信息
Cureus. 2018 Sep 19;10(9):e3338. doi: 10.7759/cureus.3338.
Abstract
PIM (postictal mania) or PIP (postictal psychosis) usually comes on after a single episode or a seizure cluster of generalized tonic-clonic or complex partial secondarily generalized seizures. Patients maintain a lucid interval of clear consciousness which precedes a psychotic episode. The symptoms may include insomnia, hallucinations, delusions, elated expansive mood, euphoria, and distractibility. We present a case of a 62-year-old male with PIP or mania preceding an episode of seizure. In the light of this case report, we illustrate the importance of being vigilant about the psychotic symptoms in a patient with epilepsy in order to minimize the morbidity.
摘要
发作后躁狂（PIM）或发作后精神病（PIP）通常在单次发作或全身性强直阵挛发作或复杂部分性继发全身性发作的发作群之后出现。患者在精神病发作前保持清醒的意识间歇期。症状可能包括失眠、幻觉、妄想、情绪高涨、欣快和注意力分散。我们报告一例62岁男性在癫痫发作前出现PIP或躁狂的病例。根据本病例报告，我们阐述了对癫痫患者的精神病症状保持警惕以尽量降低发病率的重要性。
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