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Epileptic Disorders

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Catatonic psychosis related to forced normalization in a girl with Dravet’s syndrome Volume 10, numéro 4, December 2008

Vidéos

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

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Auteurs
Child Neurology and Psychiatry Unit, Neuroscience Department, Maggiore Hospital, Bologna, Clinical Psychiatry, University of Milano-Bicocca, S. Gerardo Hospital, Monza, Italy

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]