A CASE REPORT ON FOCAL IMPAIRED SEIZURE ASSOCIATED WITH INTERMITTENT PSYCHOTIC DISORDER

Abstract

Introduction: Focal impaired seizure is an Complex partial seizures (CPS), where focal (start in one region of the brain) and are accompanied with impairments in consciousness. The majority of them start in the temporal region and have automatisms, an aura, and reduced consciousness. The most typical incorrect diagnosis for CPS that develop in the temporal region is primary psychiatric illness. Case report: A23-year-old male patient arrived with brief episodes of hallucinations, violent behaviour, and altered levels of awareness. According to ICD10 criteria, he was diagnosed with acute and transitory psychotic illness, and he was treated with injectable haloperidol 10mg BID, then oral olanzapine 10mg. Both the electroencephalogram and the brain's computed tomography were normal. He returned to the outpatient clinic after 15 days and complained of aggressive behaviour and sensory misinterpretations. It was advised to do a video electroencephalogram, however owing to nancial limitations, this was not done. Despite the lack of EEG data, the diagnosis was changed and he was put on oral carbamazepine due to a strong clinical suspicion of complex partial seizures. Antiepileptic treatment went well for him, and the symptom remission has held. Conclusion: Persons who appear with psychosis require a thorough diagnostic analysis to rule out any other options.