International Journal of Academic Health and Medical Research (IJAHMR)
  Year: 2024 | Volume: 8 | Issue: 5 | Page No.: 45-46
Post-Ictal Psychosis: A Case Report Download PDF
BENHAMMOU Imane,

Abstract:
: Post-ictal psychosis is a little-understood pathology on the borderline between neurology and psychiatry. It is a brief psychotic syndrome that follows the onset of complex partial epileptic seizures, with a specific chronology. It is characterised by an interval of 12 to 72 hours between a series of epileptic seizures and the onset of psychotic symptoms. Symptoms evolve towards spontaneous regression in an average of one week, with or without treatment. The clinical case presented concerns a 23-year-old epileptic patient hospitalised in the psychiatry department of the AL Houceima provincial hospital centre for a heteroaggressive behavioural disorder. The patient presented with an acute delirious episode with visual hallucinations 72 hours after the onset of 3 consecutive convulsive seizures. A neurological opinion was sought, and the diagnosis was post-ictal psychosis. Anti-epileptic treatment was adjusted, and the course of treatment was favourable, with complete resolution of the psychotic symptoms after 14 days. Knowledge of PPI syndrome is of paramount importance, firstly to ensure a good quality of life for patients and secondly because its treatment appears to be relatively easy compared with that of other psychotic disorders.