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Catatonic psychosis related to forced normalization in a girl with Dravet’s syndrome


Epileptic Disorders. Volume 10, Number 4, 325-9, December 2008, Clinical commentary with video sequences

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Author(s) : Giuseppe Gobbi, Simona Giovannini, Antonella Boni, Paola Visconti, Massimiliano Beghi, Cesare Maria Cornaggia

Summary : It has been reported that the clinical presentation of forced normalization can vary from paranoid hallucinatory states to anxiety and conversion phenomena, and that it may occur in both generalised and focal epilepsies. On the basis of the evaluation of a video recording, we found that forced normalization was concomitant with catatonic psychosis in a patient with epilepsy, intellectual disability and pervasive developmental disorder. Catatonic psychosis accompanying forced normalization has not been previously reported. As the psychotic symptoms and quality of life worsen seizure control improves, we believe it may be better for the patient to tolerate some seizures, thus preserving their capacity to interact socially. [Published with video sequences]

Keywords : forced normalization, catatonic psychosis, epilepsy, anxiety

 

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