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After seizure clusters, especially those that include convulsions, inquiring about unusual thoughts and behavior can help identify PP. In some cases, seizures occur during sleep or are associated with amnesia (diurnal seizures) and the postictal nature of the psychosis is not readily apparent.
- Orrin Devinsky
- 2008
Psychosis in people with epilepsy is most often classified according to the time when episodes occur, in relation to seizures: Postictal psychosis has been estimated to affect between 6% and 10% of people with epilepsy. It involves psychiatric symptoms that occur within 7 days (usually within 1 to 3 days) after a seizure or seizure cluster in a ...
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Jun 15, 2021 · Postictal psychosis is a relatively common and treatable mental state characterized by hallucinations, delirium, paranoia, mood disturbances, and disordered thoughts developing after a seizure or cluster of seizures (Morrow, Lafayette, Bromfield, & Fricchione, 2006; Logsdail & Toone, 1988). Causes and Risk Factors
Psychosis occurs within a week after a seizure or cluster of seizures. The psychotic episode lasts between 24 hours and three months. There is no evidence of a reaction to anticonvulsant medications, head injury, drug or alcohol intoxication, or history of another condition called interictal psychosis.
May 12, 2020 · Postictal states are more likely to occur if seizures last longer, and patients with very brief absence seizures (<15 seconds) generally do not have a postictal state (T1). 6 Absence epilepsy mostly lacks a postictal state, as background EEG before and after seizures is normal and postictal hypoxia does not seem to occur, providing diagnostic ...
- Julia C. M. Pottkämper, Jeannette Hofmeijer, Jeroen A. van Waarde, Michel J. A. M. van Putten
- 10.1111/epi.16519
- 2020
- Epilepsia. 2020 Jun; 61(6): 1045-1061.
There is another area where seizures and psychiatric conditions overlap: psychosis. Psychosis has been reported more often in people who have epilepsy. The psychosis is generally split into two groups. First, psychosis can occur immediately after seizures (actually, the psychosis usually occurs within a period of time after the seizure itself).
Sep 6, 2019 · Postictal psychosis tends to occur 24–48 hours after a seizure and is characterized by a predominance of manic features. Interictal psychosis occurs independent of seizure activity but originates after the onset of seizures and is most likely to present with thought disorganization, paranoia, and negative symptoms.
