Hiding in Plain Sight: A case of post ictal psychosis with suicidal behavior
Postictal psychosis (PIP) is a serious, often unrecognized complication of epilepsy. Early diagnosis and intervention can prevent life-threatening outcomes. We report the case of a 26-year-old woman with childhood-onset frontal lobe epilepsy who attempted suicide, during a postictal psychotic episod...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Epilepsy & Behavior Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589986424000844 |
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| author | Tamara Fischl Piero Perucca |
| author_facet | Tamara Fischl Piero Perucca |
| author_sort | Tamara Fischl |
| collection | DOAJ |
| description | Postictal psychosis (PIP) is a serious, often unrecognized complication of epilepsy. Early diagnosis and intervention can prevent life-threatening outcomes. We report the case of a 26-year-old woman with childhood-onset frontal lobe epilepsy who attempted suicide, during a postictal psychotic episode, several days after undergoing inpatient video-EEG monitoring. This case presents a real-world scenario with clear guidelines for the on-call neurologist who will need to accurately diagnose and confidently manage PIP with psychotropic medications. Moreover, this case may stimulate discussion about the complex relationship between epilepsy and psychosis. |
| format | Article |
| id | doaj-art-da57cf41de3a450086476db6c0b8367f |
| institution | DOAJ |
| issn | 2589-9864 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Epilepsy & Behavior Reports |
| spelling | doaj-art-da57cf41de3a450086476db6c0b8367f2025-08-20T02:47:36ZengElsevierEpilepsy & Behavior Reports2589-98642025-03-012910072710.1016/j.ebr.2024.100727Hiding in Plain Sight: A case of post ictal psychosis with suicidal behaviorTamara Fischl0Piero Perucca1Neuropsychiatry of Epilepsy Clinic Pediatric Neurology Outpatient Clnic Edmond and Lily-Safra Children’s Hospital, Sheba Medical Center-Tel Aviv, Israel; Corresponding author at: Israel Stroke Centre, Israel.Epilepsy Research Centre, Department of Medicine (Austin Health), The University of Melbourne, Melbourne, Victoria, Australia; Bladin-Berkovic Comprehensive Epilepsy Program, Department of Neurology, Austin Health, Melbourne, Victoria, Australia; Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Victoria, Australia; Department of Neurology, Alfred Hospital, Melbourne, Victoria, Australia; Department of Neurology, The Royal Melbourne Hospital, Melbourne, Victoria, AustraliaPostictal psychosis (PIP) is a serious, often unrecognized complication of epilepsy. Early diagnosis and intervention can prevent life-threatening outcomes. We report the case of a 26-year-old woman with childhood-onset frontal lobe epilepsy who attempted suicide, during a postictal psychotic episode, several days after undergoing inpatient video-EEG monitoring. This case presents a real-world scenario with clear guidelines for the on-call neurologist who will need to accurately diagnose and confidently manage PIP with psychotropic medications. Moreover, this case may stimulate discussion about the complex relationship between epilepsy and psychosis.http://www.sciencedirect.com/science/article/pii/S2589986424000844EpilepsyPost-ictal psychosisPsychosis |
| spellingShingle | Tamara Fischl Piero Perucca Hiding in Plain Sight: A case of post ictal psychosis with suicidal behavior Epilepsy & Behavior Reports Epilepsy Post-ictal psychosis Psychosis |
| title | Hiding in Plain Sight: A case of post ictal psychosis with suicidal behavior |
| title_full | Hiding in Plain Sight: A case of post ictal psychosis with suicidal behavior |
| title_fullStr | Hiding in Plain Sight: A case of post ictal psychosis with suicidal behavior |
| title_full_unstemmed | Hiding in Plain Sight: A case of post ictal psychosis with suicidal behavior |
| title_short | Hiding in Plain Sight: A case of post ictal psychosis with suicidal behavior |
| title_sort | hiding in plain sight a case of post ictal psychosis with suicidal behavior |
| topic | Epilepsy Post-ictal psychosis Psychosis |
| url | http://www.sciencedirect.com/science/article/pii/S2589986424000844 |
| work_keys_str_mv | AT tamarafischl hidinginplainsightacaseofpostictalpsychosiswithsuicidalbehavior AT pieroperucca hidinginplainsightacaseofpostictalpsychosiswithsuicidalbehavior |