TY  -  JOUR
AU  -  López Arteaga, Teresa
AU  -  Amo, Carlos
AU  -  Serrano González, Carolina
AU  -  Huertas Sánchez, David
T1  -  Nonconvulsive status epilepticus and psychotic symptoms:case report
PY  -  2013
Y1  -  2013-05-01
DO  -  10.1708/1292.14295
JO  -  Rivista di Psichiatria
JA  -  Riv Psichiatr
VL  -  48
IS  -  3
SP  -  268
EP  -  270
PB  -  Il Pensiero Scientifico Editore
SN  -  2038-2502
Y2  -  2026/05/22
UR  -  http://dx.doi.org/10.1708/1292.14295
N2  -  Nonconvulsive status epilepticus (NCSE) is an epileptic condition, lasting more than 30 min, characterized by continuous or recurrent epileptic activity on EEG, which is responsible for various clinical symptoms (especially in mental status or behavior) in the absence of manifest seizure activity. It includes different clinical forms, from minor confusion to complex behavioral disorders, psychosis, or coma. These psychotic symptoms can be very complex and their differential diagnosis can be difficult. We report the case of a 31-year-old male patient without previous personal or family recorded history of epilepsy and/or schizophrenic disorder, without identifiable stressors, showing a subacute episode of anxiety with aggression. Initially, he was discharged without treatment. Seven days later he went to the emergency services accompanied by his family members reporting delusions of injury. He presented a disorganized behavior with self-harm, anxiety, dysesthesia, cenestopathy and internal field hallucinations (auditory and visual). The initial EEG study revealed a nonconvulsive status with an active temporal focus. In this patient, the psychotic symptoms and EEG abnormalities consistent with NCSE appeared simultaneously. Once the EEG returned to normal, the symptoms only persisted residually and were compatible with intraictal psychosis.
ER  -