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Psychiatric symptoms in temporal lobe epilepsy with left mesial hippocampal sclerosis.

Jang H, Kim SH, Park SH, Choo IH, Kim SG - Psychiatry Investig (2015)

Bottom Line: Upon admission, it was revealed through clinical history taking that she had suffered from chronic bullying from same-sex peers and sexual abuse, twice, from an adult male in the neighborhood when she was 10 years old.The patient exhibited improvement of her psychiatric symptoms after treatment with a combination of fluoxetine (30 mg) and aripiprazole (10 mg).Children and adolescents with epilepsy experience conflicts in the family, challenges at school, stigma, and psychosocial limitations or deprivations due to their comorbid psychiatric symptoms and hence, psychiatric evaluation and early intervention is important when treating these patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychiatry, Chosun University Hospital, Gwangju, Republic of Korea.

ABSTRACT
A 16-year-old woman was referred to us for depression and persistent suicidal and homicidal ideation. From 2010, the patient visited a neurologist due to recurrent grand mal epilepsy, auditory and visual hallucinations, episodic memory loss, and persistent depression. Upon admission, it was revealed through clinical history taking that she had suffered from chronic bullying from same-sex peers and sexual abuse, twice, from an adult male in the neighborhood when she was 10 years old. A brain magnetic resonance imaging study showed left mesial hippocampal sclerosis. The patient exhibited improvement of her psychiatric symptoms after treatment with a combination of fluoxetine (30 mg) and aripiprazole (10 mg). Children and adolescents with epilepsy experience conflicts in the family, challenges at school, stigma, and psychosocial limitations or deprivations due to their comorbid psychiatric symptoms and hence, psychiatric evaluation and early intervention is important when treating these patients.

No MeSH data available.


Related in: MedlinePlus

Brain magnetic resonance image (MRI) showing the decrease in size of the left hippocampus with loss of gray-white differentiation. This observation is consistent with mesial temporal sclerosis.
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Figure 1: Brain magnetic resonance image (MRI) showing the decrease in size of the left hippocampus with loss of gray-white differentiation. This observation is consistent with mesial temporal sclerosis.

Mentions: Upon admission, clinical history taking revealed that she had suffered from chronic bullying and victimization from same-sex peers, and had been sexually abuse, twice, by an adult male from her neighborhood when she was 10 years old. On mental state examination (MSE), she endorsed present suicidal and homicidal ideation, depressed mood, repeated nightmares, and flashbacks about bullying or sexual abuse. Routine blood tests, including complete blood count, serum electrolyte, creatinine, glucose, and vitamin B12, vitamin E, and folate, autoimmune serologies, and electrocardiogram (ECG), chest X-ray, and EEG showed no aberrant findings. However, brain magnetic resonance imaging (MRI) study detected left mesial hippocampal sclerosis (Figure 1).


Psychiatric symptoms in temporal lobe epilepsy with left mesial hippocampal sclerosis.

Jang H, Kim SH, Park SH, Choo IH, Kim SG - Psychiatry Investig (2015)

Brain magnetic resonance image (MRI) showing the decrease in size of the left hippocampus with loss of gray-white differentiation. This observation is consistent with mesial temporal sclerosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4390601&req=5

Figure 1: Brain magnetic resonance image (MRI) showing the decrease in size of the left hippocampus with loss of gray-white differentiation. This observation is consistent with mesial temporal sclerosis.
Mentions: Upon admission, clinical history taking revealed that she had suffered from chronic bullying and victimization from same-sex peers, and had been sexually abuse, twice, by an adult male from her neighborhood when she was 10 years old. On mental state examination (MSE), she endorsed present suicidal and homicidal ideation, depressed mood, repeated nightmares, and flashbacks about bullying or sexual abuse. Routine blood tests, including complete blood count, serum electrolyte, creatinine, glucose, and vitamin B12, vitamin E, and folate, autoimmune serologies, and electrocardiogram (ECG), chest X-ray, and EEG showed no aberrant findings. However, brain magnetic resonance imaging (MRI) study detected left mesial hippocampal sclerosis (Figure 1).

Bottom Line: Upon admission, it was revealed through clinical history taking that she had suffered from chronic bullying from same-sex peers and sexual abuse, twice, from an adult male in the neighborhood when she was 10 years old.The patient exhibited improvement of her psychiatric symptoms after treatment with a combination of fluoxetine (30 mg) and aripiprazole (10 mg).Children and adolescents with epilepsy experience conflicts in the family, challenges at school, stigma, and psychosocial limitations or deprivations due to their comorbid psychiatric symptoms and hence, psychiatric evaluation and early intervention is important when treating these patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychiatry, Chosun University Hospital, Gwangju, Republic of Korea.

ABSTRACT
A 16-year-old woman was referred to us for depression and persistent suicidal and homicidal ideation. From 2010, the patient visited a neurologist due to recurrent grand mal epilepsy, auditory and visual hallucinations, episodic memory loss, and persistent depression. Upon admission, it was revealed through clinical history taking that she had suffered from chronic bullying from same-sex peers and sexual abuse, twice, from an adult male in the neighborhood when she was 10 years old. A brain magnetic resonance imaging study showed left mesial hippocampal sclerosis. The patient exhibited improvement of her psychiatric symptoms after treatment with a combination of fluoxetine (30 mg) and aripiprazole (10 mg). Children and adolescents with epilepsy experience conflicts in the family, challenges at school, stigma, and psychosocial limitations or deprivations due to their comorbid psychiatric symptoms and hence, psychiatric evaluation and early intervention is important when treating these patients.

No MeSH data available.


Related in: MedlinePlus