Transient psychosis in a girl with epilepsy and continuous spikes and waves during slow sleep (CSWS)

A normally developed and healthy 6-year-old girl suffered the onset of epilepsy with generalized tonic-clonic seizures and atypical absences. Initially the EEG showed epileptiform activity over the temporal and parietal regions, later there were episodes of bilateral synchronous spike-wave activity...

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Published in:European Child & Adolescent Psychiatry Vol. 5; no. 4; pp. 216 - 222
Main Authors: Kyllerman M, Nyden A, Praquin P, Rasmussen P, Wetterquist A, Hedstrom A
Format: case study Journal Article
Published: Springer Nature Dec1996
Online Access:View this record in EBSCOhost
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      dt: Dec1996
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      pub: Springer Nature
      place: New York, New York
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        atl: Transient psychosis in a girl with epilepsy and continuous spikes and waves during slow sleep (CSWS)
      aug:
        au:
          Kyllerman M
          Nyden A
          Praquin P
          Rasmussen P
          Wetterquist A
          Hedstrom A
        affil: Department of Pediatrics, East Hospital, University of Goteborg, 41685 Goteborg, Sweden
      sug:
        subj:
          Epilepsy Drug Therapy
          Electroencephalography
          Psychotic Disorders
          Sweden
          Sleep Stages
          Social Behavior
          Immigrants
          Interprofessional Relations
          Female
          Female
      ab: A normally developed and healthy 6-year-old girl suffered the onset of epilepsy with generalized tonic-clonic seizures and atypical absences. Initially the EEG showed epileptiform activity over the temporal and parietal regions, later there were episodes of bilateral synchronous spike-wave activity with a frequency of 1.5-2.5 Hz. After a few months, deterioration of cognitive and behavioural functions appeared and gradually increased with the development of a full-blown disintegrative psychosis that went on for several months. Sleep EEG recordings showed the characteristic abnormality described as continuous spikes and waves during slow sleep. Later there was a remarkable improvement of neuropsychiatric functions but a second outbreak of psychosis seems to have left the girl, who is now 9 years of age, with severe mental impairment.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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