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CaseReport Article

A patient with mania and photoconvulsive epilepsy

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Pages 867-870 | Published online: 06 Jul 2009
 

Abstract

Objective: To describe a young patient who had a comorbidity of mania and photoconvulsive epilepsy.

Clinical picture: This patient presented with a clinical picture of mania which proved difficult to treat until an EEG revealed the presence of photoconvulsive epilepsy.

Treatment: Treatment with haloperidol and lithium was unsuccessful but the addition of carbamazepine produced a dramatic response. Haloperidol was stopped and the patient maintained on lithium and carbamazepine.

Outcome: A successful outcome was achieved with carbamazepine and the patient has remained well on this treatment for 2 years.

Conclusions: The authors postulate that there may be an association between photoconvulsive epilepsy and mania, perhaps on a kindling basis. The literature pertaining to the psychiatric aspects of photoconvulsive epilepsy is reviewed.

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