Inter-ictal psychosis of epilepsy

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Inter-ictal psychosis of epilepsy. Delusions, Hallucinations: these may be visual or auditory, Mystical experience. Fully referenced neurology checklist.

Clinical features

  • Delusions
  • Hallucinations: these may be visual or auditory
  • Mystical experience
  • Preserved personality
  • Clear consciousness

Differential diagnosis

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Treatment

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References

  1. Maguire M, Singh J, Marson A. Epilepsy and psychosis: a practical approach. Pract Neurol 2018; 18:106-114.
  2. Alper K, Kuzniecky R, Carlson C, et al. Postictal psychosis in partial epilepsy: a case control study. Ann Neurol 2008; 63:602-610.
  3. Chen Z, Lusicic A, O'Brien TJ, Velakoulis D, Adams SJ, Kwan P. Psychotic disorders induced by antiepileptic drugs in people with epilepsy. Brain 2016; 139:2668-2678. 
  4. Devinsky O. Postictal psychosis: common, dangerous, and treatable. Epilepsy Curr 2008; 8:31–34.
  5. Devinsky O, Abramson H, Alper K, et al. Postictal psychosis: a case control series of 20 patients and 150 controls. Epilepsy Res 1995; 20:247-253.
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