Proceedings of the 6th International Conference of Neuroscience, Neurology and Psychiatry Universitas Sumatera Utara (ICONAP 2023)

Acute Psychosis in Post-Seizure Epilepsy Patient: A Case of Post-ictal Psychosis (PIP)

Authors
Tiasarah Aretha Sitepu1, Dessy Mawar Zalia1, *
1Department of Psychiatry, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
*Corresponding author. Email: drdessymawarspkj@gmail.com
Corresponding Author
Dessy Mawar Zalia
Available Online 18 December 2023.
DOI
10.2991/978-94-6463-310-8_31How to use a DOI?
Keywords
psychosis; epilepsy; post-ictal psychosis
Abstract

Postictal psychosis (PIP) is a type of peri-ictal psychosis. PIP was defined as a psychotic episode that begins less than one week after the epileptic seizure, especially the focal seizure group with disturbance of consciousness with or without evolution to generalized tonic-clonic seizures (GTC). In patients with epilepsy, complex factors play a role in the neuropsychiatric effects of epilepsy. The concept of epileptic psychosis implies that epilepsy presupposes a specific psychotic disorder, which would not exist in the absence of epilepsy. This case report describes the clinical features of PIP, characterized by persecutory delusions, visual and auditory hallucinations, and sleep disturbances in a male patient with uncontrolled long-standing epilepsy with a history of non-adherence to antiepileptic medication. The patient was then treated with risperidone 0.5 mg twice a day and lorazepam 1 mg once a day at night. The patient is also educated to take his antiepileptic drugs regularly.

Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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Volume Title
Proceedings of the 6th International Conference of Neuroscience, Neurology and Psychiatry Universitas Sumatera Utara (ICONAP 2023)
Series
Advances in Health Sciences Research
Publication Date
18 December 2023
ISBN
978-94-6463-310-8
ISSN
2468-5739
DOI
10.2991/978-94-6463-310-8_31How to use a DOI?
Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Cite this article

TY  - CONF
AU  - Tiasarah Aretha Sitepu
AU  - Dessy Mawar Zalia
PY  - 2023
DA  - 2023/12/18
TI  - Acute Psychosis in Post-Seizure Epilepsy Patient: A Case of Post-ictal Psychosis (PIP)
BT  - Proceedings of the 6th International Conference of Neuroscience, Neurology and Psychiatry Universitas Sumatera Utara (ICONAP 2023)
PB  - Atlantis Press
SP  - 206
EP  - 210
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-310-8_31
DO  - 10.2991/978-94-6463-310-8_31
ID  - Sitepu2023
ER  -