Home Ahead of print Instructions
About us Current issue Subscribe
Editorial board Archives Contact us
Search Submit article Login 
Print this page Email this page
CASE REPORT
Year : 2014  |  Volume : 11  |  Issue : 1  |  Page : 41-44

Super refractory epilepticus in a patient with post-ictal psychosis


Department of Psychiatry, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria

Correspondence Address:
Aghukwa Nkereuwem Chikaodiri
Bayero University/Aminu Kano Teaching Hospital, Kano
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0331-8540.130171

Rights and Permissions

Post-ictal psychosis occurring with super refractory epilepticus is an uncommon neuropsychiatric phenomenon. The purpose of this article is to describe the clinical management in an adult male of a protracted post-ictal psychotic disorder, which complicated a super-refractory status epilepticus in a resource poor country. The case describes the clinical presentation of a young man on an anti epileptic drug, diagnosed with secondarily generalized complex partial seizure disorder following a head injury. The index episode, which the patient presented days later for orthodox care, manifested after some days with post-ictal psychotic mental disturbances. Despite the cautious use of antipsychotic and antiepileptic drugs, super-refractory status epilepticus complicated seizure. On admission to the ICU, intravenous midazolam was given to the patient, but could not be maintained due to unavailability and substituted with magnesium sulphate infusion.The magnesium sulphate infusion was maintained due to break through seizures on return of patient to the psychiatric ward. The psychosis and refractory seizures were controlled after 8 weeks by joint magnesium titration, intravenous diazepam, high dose oral anti epileptics, and atypical antipsychotic drugs. A combined therapy of magnesium, benzodiazepine, and atypical antipsychotics might be an effective treatment option in post-ictal psychosis with super- refractory status epilepticus.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed5271    
    Printed178    
    Emailed0    
    PDF Downloaded256    
    Comments [Add]    

Recommend this journal