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Besag F, Caplan R, Aldenkamp A, et al. Psychiatric and Behavioural Disorders in Children with Epilepsy (ILAE Task Force Report): Epilepsy and psychosis in children and teenagers. Epileptic Disord. 2016;doi: 10.1684/epd.2016.0814.
Besag, F., Caplan, R., Aldenkamp, A., Dunn, D. W., Gobbi, G., & Sillanpää, M. (2016). Psychiatric and Behavioural Disorders in Children with Epilepsy (ILAE Task Force Report): Epilepsy and psychosis in children and teenagers. Epileptic disorders : international epilepsy journal with videotape, . https://doi.org/10.1684/epd.2016.0814
Besag, Frank, et al. "Psychiatric and Behavioural Disorders in Children with Epilepsy (ILAE Task Force Report): Epilepsy and psychosis in children and teenagers." Epileptic disorders : international epilepsy journal with videotape vol. (2016). doi: https://doi.org/10.1684/epd.2016.0814
Besag F, Caplan R, Aldenkamp A, Dunn DW, Gobbi G, Sillanpää M. Psychiatric and Behavioural Disorders in Children with Epilepsy (ILAE Task Force Report): Epilepsy and psychosis in children and teenagers. Epileptic Disord. 2016 May 16; doi: 10.1684/epd.2016.0814. Epub 2016 May 16. PMID: 27184580.
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Epileptic Disord. 2016 May 16; doi: 10.1684/epd.2016.0814. Epub 2016 May 16.

Psychiatric and Behavioural Disorders in Children with Epilepsy (ILAE Task Force Report): Epilepsy and psychosis in children and teenagers.

Epileptic disorders : international epilepsy journal with videotape

Frank Besag, Rochelle Caplan, Albert Aldenkamp, David W Dunn, Giuseppe Gobbi, Matti Sillanpää

Affiliations

  1. MB ChB, Professor, Mid Beds Clinic, East London NHS Foundation Trust, Bedford, UK.
  2. MD, Professor, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, USA.
  3. Professor Dr., Department of Research and Development, Epilepsy Center Kempenhaeghe, Heeze, The Netherlands; MHENS School of Mental Health & Neuroscience, Maastricht University, Maastricht, The Netherlands.
  4. MD, Professor of Psychiatry and Neurology, Riley Hospital Child and Adolescent Psychiatry Clinics, Indiana University School of Medicine, Indianapolis IN 46202 USA.
  5. MD, IRCCS - Institute of Neurological Sciences of Bologna, Child Neurology Unit, Bologna, Italy.
  6. MD PhD, Professor Dr. emer., Senior Research Scientist, Depts. Public Health and Child Neurology, University of Turku, Turku, Finland.

PMID: 27184580 DOI: 10.1684/epd.2016.0814

Abstract

Psychosis related to epilepsy or antiepileptic treatment can occur in teenagers and very rarely in children. Postictal, interictal and antiepileptic-drug-induced psychosis have all been reported in young people. Whether ictal psychosis occurs in this age group remains open to debate. Neuronal antibody encephalitis such as anti-NMDA receptor encephalitis can present with seizures and psychosis, both of which can resolve with prompt, appropriate immunotherapy. In addition, there have been several reports in which the terms psychosis or psychotic features have been used loosely to describe behavioural disturbance in children with epilepsy; in these cases there have apparently been no diagnostic features of psychosis, implying that these terms should not have been used. The management of epilepsy-related psychosis in young people is similar to that in adults. Antipsychotic medication should not be withheld if it is needed on clinical grounds. If the psychosis has been induced by antiepileptic medication then a medication review is necessary.

Keywords: affective; antiepileptic drug; interictal; postictal; psychosis; schizophrenia

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