A case report of de novo psychosis after epilepsy surgery
Introduction Epilepsy is a common and severe neurologic condition, with a high prevalence of psychiatric comorbidity. Epilepsy surgery has been used for its treatment, resulting in remission or significant reduction of crisis. An improvement of previously existing psychopathology has been more freq...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822020223/type/journal_article |
| _version_ | 1827755053643988992 |
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| author | C. Adão D.F. Rodrigues A.S. Sequeira P. Trindade A. Velosa |
| author_facet | C. Adão D.F. Rodrigues A.S. Sequeira P. Trindade A. Velosa |
| author_sort | C. Adão |
| collection | DOAJ |
| description |
Introduction
Epilepsy is a common and severe neurologic condition, with a high prevalence of psychiatric comorbidity. Epilepsy surgery has been used for its treatment, resulting in remission or significant reduction of crisis. An improvement of previously existing psychopathology has been more frequently described, however its exacerbation or de novo psychopathology post-surgery has also been reported. The prevalence rate for post-surgery psychosis is 1.1%. There are no clear risk factors associated to this condition, or a proposed pathological mechanism. However, most cases described in the literature are of patients submitted to temporal lobectomy.
Objectives
Description of a clinical case of a first-episode psychosis post-epilepsy surgery and review of the literature.
Methods
Description of a clinical case. Non systematic review of the literature, searching the terms “psychiatric”; “psychosis”; “epilepsy surgery” in the databases Pubmed, Medline and Cochrane.
Results
Male, 29-year-old patient, diagnosed with refractory temporal lobe epilepsy. Neuropsychiatric history of mixed adaptation disorder, treated with escitalopram 10 mg daily. Submitted to anterior temporal lobectomy with no complications. On the 6th day post-surgery, he developed persecutory and self-referent delusions. There’s no evidence of other causal factors. Treated with paliperidone 3 mg daily with symptom remission after one week. The diagnosis of brief psychotic disorder was made.
Conclusions
We present a case of a de novo psychotic disorder, a rare complication of epilepsy surgery. In the future, it might be interesting to study this association in detail, with the goal of deepening the knowledge of the neurobiology of psychosis, particularly the involvement of temporal circuits.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:57:51Z |
| format | Article |
| id | doaj.art-8820d9b6751941668b98a880a8037331 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:57:51Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-8820d9b6751941668b98a880a80373312023-11-17T05:05:14ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S783S78310.1192/j.eurpsy.2022.2022A case report of de novo psychosis after epilepsy surgeryC. Adão0D.F. Rodrigues1A.S. Sequeira2P. Trindade3A. Velosa4Centro Hospitalar de Lisboa Ocidental, Psychiatry Department, Lisboa, PortugalCentro Hospitalar de Lisboa Ocidental, Psychiatry Department, Lisboa, PortugalCentro Hospitalar de Lisboa Ocidental, Psychiatry Department, Lisboa, PortugalCentro Hospitalar de Lisboa Ocidental, Psychiatry Department, Lisboa, PortugalCentro Hospitalar de Lisboa Ocidental, Psychiatry Department, Lisboa, Portugal Introduction Epilepsy is a common and severe neurologic condition, with a high prevalence of psychiatric comorbidity. Epilepsy surgery has been used for its treatment, resulting in remission or significant reduction of crisis. An improvement of previously existing psychopathology has been more frequently described, however its exacerbation or de novo psychopathology post-surgery has also been reported. The prevalence rate for post-surgery psychosis is 1.1%. There are no clear risk factors associated to this condition, or a proposed pathological mechanism. However, most cases described in the literature are of patients submitted to temporal lobectomy. Objectives Description of a clinical case of a first-episode psychosis post-epilepsy surgery and review of the literature. Methods Description of a clinical case. Non systematic review of the literature, searching the terms “psychiatric”; “psychosis”; “epilepsy surgery” in the databases Pubmed, Medline and Cochrane. Results Male, 29-year-old patient, diagnosed with refractory temporal lobe epilepsy. Neuropsychiatric history of mixed adaptation disorder, treated with escitalopram 10 mg daily. Submitted to anterior temporal lobectomy with no complications. On the 6th day post-surgery, he developed persecutory and self-referent delusions. There’s no evidence of other causal factors. Treated with paliperidone 3 mg daily with symptom remission after one week. The diagnosis of brief psychotic disorder was made. Conclusions We present a case of a de novo psychotic disorder, a rare complication of epilepsy surgery. In the future, it might be interesting to study this association in detail, with the goal of deepening the knowledge of the neurobiology of psychosis, particularly the involvement of temporal circuits. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822020223/type/journal_articleepilepsy surgeryepilepsyPsychosisbrief psychotic disorder |
| spellingShingle | C. Adão D.F. Rodrigues A.S. Sequeira P. Trindade A. Velosa A case report of de novo psychosis after epilepsy surgery European Psychiatry epilepsy surgery epilepsy Psychosis brief psychotic disorder |
| title | A case report of de novo psychosis after epilepsy surgery |
| title_full | A case report of de novo psychosis after epilepsy surgery |
| title_fullStr | A case report of de novo psychosis after epilepsy surgery |
| title_full_unstemmed | A case report of de novo psychosis after epilepsy surgery |
| title_short | A case report of de novo psychosis after epilepsy surgery |
| title_sort | case report of de novo psychosis after epilepsy surgery |
| topic | epilepsy surgery epilepsy Psychosis brief psychotic disorder |
| url | https://www.cambridge.org/core/product/identifier/S0924933822020223/type/journal_article |
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