A change in electrographic activity and blood flow during interictal and postictal psychotic states in a patient with epilepsy

We report a patient with epilepsy who experienced interictal and postictal psychoses. Her psychiatric symptoms consisted of grandiose and fantastic delusions during both psychotic states. During remission, electroencephalography showed bitemporal epileptiform discharges that were predominant in the...

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Autores principales: Yasumoto, Shingo, Motooka, Hiromichi, Ito, Yuji, Uchimura, Naohisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4475786/
https://www.ncbi.nlm.nih.gov/pubmed/26106577
http://dx.doi.org/10.1016/j.ebcr.2015.02.005
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author Yasumoto, Shingo
Motooka, Hiromichi
Ito, Yuji
Uchimura, Naohisa
author_facet Yasumoto, Shingo
Motooka, Hiromichi
Ito, Yuji
Uchimura, Naohisa
author_sort Yasumoto, Shingo
collection PubMed
description We report a patient with epilepsy who experienced interictal and postictal psychoses. Her psychiatric symptoms consisted of grandiose and fantastic delusions during both psychotic states. During remission, electroencephalography showed bitemporal epileptiform discharges that were predominant in the right temporal region. Epileptiform discharges present during the psychotic states were predominant in the left temporal region. Single-photon emission computed tomography showed hyperperfusion in the left basal ganglia during the interictal psychotic state and hyperperfusion in the right temporal lobe and left basal ganglia during the postictal psychotic state. We suggest that the occurrence of postictal and interictal psychotic states in this patient were associated with a common change in electrographic activity and blood flow.
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spelling pubmed-44757862015-06-23 A change in electrographic activity and blood flow during interictal and postictal psychotic states in a patient with epilepsy Yasumoto, Shingo Motooka, Hiromichi Ito, Yuji Uchimura, Naohisa Epilepsy Behav Case Rep Case Report We report a patient with epilepsy who experienced interictal and postictal psychoses. Her psychiatric symptoms consisted of grandiose and fantastic delusions during both psychotic states. During remission, electroencephalography showed bitemporal epileptiform discharges that were predominant in the right temporal region. Epileptiform discharges present during the psychotic states were predominant in the left temporal region. Single-photon emission computed tomography showed hyperperfusion in the left basal ganglia during the interictal psychotic state and hyperperfusion in the right temporal lobe and left basal ganglia during the postictal psychotic state. We suggest that the occurrence of postictal and interictal psychotic states in this patient were associated with a common change in electrographic activity and blood flow. Elsevier 2015-06-05 /pmc/articles/PMC4475786/ /pubmed/26106577 http://dx.doi.org/10.1016/j.ebcr.2015.02.005 Text en © 2015 The Authors. Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yasumoto, Shingo
Motooka, Hiromichi
Ito, Yuji
Uchimura, Naohisa
A change in electrographic activity and blood flow during interictal and postictal psychotic states in a patient with epilepsy
title A change in electrographic activity and blood flow during interictal and postictal psychotic states in a patient with epilepsy
title_full A change in electrographic activity and blood flow during interictal and postictal psychotic states in a patient with epilepsy
title_fullStr A change in electrographic activity and blood flow during interictal and postictal psychotic states in a patient with epilepsy
title_full_unstemmed A change in electrographic activity and blood flow during interictal and postictal psychotic states in a patient with epilepsy
title_short A change in electrographic activity and blood flow during interictal and postictal psychotic states in a patient with epilepsy
title_sort change in electrographic activity and blood flow during interictal and postictal psychotic states in a patient with epilepsy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4475786/
https://www.ncbi.nlm.nih.gov/pubmed/26106577
http://dx.doi.org/10.1016/j.ebcr.2015.02.005
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