A Complex Presentation: Psychosis in a Patient Diagnosed With Lennox-Gastaut Syndrome.
| Autor: | Singh G; Psychiatry, Bergen New Bridge Medical Center, Paramus, USA., Gill G; Psychiatry, BronxCare Health System, New York, USA., Singh S; Psychiatry and Behavioral Sciences, Interfaith Medical Center, Brooklyn, USA., Roshan NS; Neurology, Father Muller Medical College, Mangalore, IND., Lalendran A; Psychiatry and Behavioral Sciences, BronxMedcare Hospital, New York, USA., Gunturu S; Psychiatry, BronxCare Health System, New York, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Jul 20; Vol. 16 (7), pp. e65010. Date of Electronic Publication: 2024 Jul 20 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.65010 |
| Abstrakt: | Lennox-Gastaut syndrome (LGS) is a form of severe childhood epilepsy, with most children experiencing seizures before reaching the age of eight. Typically, patients have multiple types of seizures, making an accurate diagnosis challenging. While it can be secondary to other causes, often, it is idiopathic. Over time, children develop cognitive impairment, leading to intellectual disability. The mainstay of treatment and management is seizure control. However, management remains challenging due to the complexity of the syndrome, as it is associated with multiple seizure types, intellectual deterioration, and other psychiatric comorbidities. We present the case of a 19-year-old male diagnosed with LGS and treated with various available therapies, who demonstrated multiple breakthrough seizures, significant neurocognitive disabilities, and behavior challenges. Additionally, the patient displayed psychotic features of auditory hallucinations, aggression, and attempts at self-mutilation, a rare clinical presentation in LGS. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Singh et al.) |
| Databáze: | MEDLINE |
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