The phenomenology of psychosis associated with complex partial seizure disorder.
Annals of Clinical Psychiatry March 1, 1997 DOI: 10.1023/a:1026230308668 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Review with case series Case report Peer reviewed |
|---|---|
| Sample size | 10 |
| Population | Treatment-refractory patients admitted to a state hospital with previously undiagnosed psychoses secondary to CPSD |
| Interventions | limbic anticonvulsants neuroleptics lithium |
| Topics | Philosophy of mind |
| Citations | 11 |
| Key findings | Psychosis secondary to complex partial seizure disorder is often misdiagnosed as functional psychoses but can be successfully treated with limbic anticonvulsants. |
Abstract
Psychosis commonly occurs as a direct result of complex partial seizure disorder (CPSD). This organic mental disorder is indeed "complex" and is easily and frequently misdiagnosed as a variety of functional disorders, including schizophrenia, schizoaffective disorder, bipolar illness, psychotic depression, and, at best, "atypical psychosis." However, this important clinical syndrome has several clinical features that suggest its presence and which often permit it to be distinguished from other forms of psychosis. Furthermore, this disorder can be successfully treated with limbic anticonvulsants, with or without neuroleptics and/or lithium, but it is generally refractory to neuroleptic medications alone. In this paper, the author reviews the available literature relevant to the clinical phenomenology and treatment of this topic and illustrates the clinical profiles of 10 treatment-refractory patients admitted to a state hospital with previously undiagnosed psychoses secondary to CPSD. This illness needs to be seriously considered in the differential diagnosis of severely ill patients with atypical psychoses refractory to traditional treatments.
Comparable studies
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| Neurophenomenology of an Altered State of Consciousness: An fMRI Case Study. A single research participant with self-proclaimed ecstatic Kundalini meditative... | 2016 | Case study | n = 1 |
| Multimodal neurophenomenology of advanced concentration absorption meditation: An intensively sampled case study of Jhana. One advanced meditator with over 23,000 hours of meditation practice | 2024 | Case study | n = 1 |