Duration of Postictal Psychotic Episodes

作者: Naoto Adachi , Masumi Ito , Kousuke Kanemoto , Nozomi Akanuma , Mitsutoshi Okazaki

DOI: 10.1111/J.1528-1167.2007.01058.X

关键词: PsychologyIctalPsychiatryBorderline intellectual functioningLucid intervalAntipsychoticInternal medicineAge of onsetFamily historyEpilepsyPsychosis

摘要: Summary: Purpose: To clarify duration of postictal psychosis (PIP) episodes and identify factors that influence its duration. Methods: Fifty-eight patients with epilepsy exhibited 151 PIP during a mean follow-up period 12.8 years. Distribution the these was determined, potentially affecting were analyzed. Factors analyzed included PIP-related variables (i.e., antecedent seizures lucid interval) patient characteristics type epilepsy, lateralization EEG abnormalities, intellectual functioning). Results: The 58 first 10.5 days, all (including multiple episodes) 9.2 days. Approximately 95% resolved within 1 month. Most variables, except for antipsychotic drugs administered, not associated episodes. Several characteristics, i.e., history interictal psychosis, family functioning, Conclusions: This study showed most last less than appear to be prolonged when individuals have an underlying vulnerability psychosis. Clinical phenomena can trigger may determine course episode. Ke yW ords: Epilepsy—Postictal psychosis— Duration—Time course—Clinical characteristics.

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