Olgu Sunumu
BibTex RIS Kaynak Göster

Epilepsi Tanılı Hastada Gebelik Sanrısı: Bir Olgu Sunumu

Yıl 2024, Cilt: 26 Sayı: 2, 167 - 170, 30.08.2024
https://doi.org/10.18678/dtfd.1424051

Öz

İnteriktal psikoz, epileptik nöbetlerle zamansal olarak ilişkili olmayan psikotik bir semptomdur. Gebelik sanrısı, bir kişinin hamile olmadığına dair nesnel kanıtlara rağmen hamile olduğuna dair sabit inancı olarak tanımlanır. Bu vaka raporunda, epilepsili bir hastada gebelik sanrısı tanımlanmıştır. Otuz bir yaşında epilepsi hastası bir kadın psikiyatri servisine yatırılmıştır. Gebelik test sonuçları hiçbir zaman pozitif çıkmayan hasta gebe olduğuna inanıyordu. Hastanın tek yumurta ikizinin 10 yıl önce üreme-cinsellik temalı psikotik belirtiler yaşadığı öğrenildi. Üç hafta hastanede yatan hasta paliperidon 6 mg/gün ve biperiden 2 mg/gün tedavisiyle remisyonla taburcu edilmiştir. Epileptojenik etkileri nedeniyle antipsikotik kullanırken dikkatli olunmalıdır. Epilepside gebelik sanrısı nadirdir. Bu nadir duruma ek olarak, hastanın epilepsi tanısı almış ikiz kardeşinde de üreme-cinsel sanrıların bildirilmiş olması dikkat çekicidir.

Kaynakça

  • Swinkels WA, Kuyk J, van Dyck R, Spinhoven P. Psychiatric comorbidity in epilepsy. Epilepsy Behav. 2005;7(1):37-50.
  • Irwin LG, Fortune DG. Risk factors for psychosis secondary to temporal lobe epilepsy: a systematic review. J Neuropsychiatry Clin Neurosci. 2014;26(1):5-23.
  • Clancy MJ, Clarke MC, Connor DJ, Cannon M, Cotter DR. The prevalence of psychosis in epilepsy; a systematic review and meta-analysis. BMC Psychiatry. 2014;14:75.
  • Bahali MK, Zengin M, Tamam L, Ozpoyraz N, Bozdemir H. Forced normalization: an important phenomenon in the relationship between psychiatric disorders and epilepsy. Psychiatry Clin Psychopharmacol. 2008;18(4):322-6.
  • Sachdev P. Schizophrenia-like psychosis and epilepsy: the status of the association. Am J Psychiatry. 1998;155(3):325-36.
  • Tascon-Cervera JJ, Crisostomo-Siverio AI, Cardenes-Moreno C, Dorta-Gonzalez JF, Morera-Fumero AL. Psychosis in epilepsy vs late-onset schizophrenia: a case report. Cureus. 2022;14(12):e32692.
  • Ray M, Kumar S, Sinha A, Pisharody RR. Delusion of pregnancy: conception in brain. Ind Psychiatry J. 2022;31(2):341-5.
  • Bera SC, Sarkar S. Delusion of pregnancy: a systematic review of 84 cases in the literature. Indian J Psychol Med. 2015;37(2):131-7.
  • Gurgu RS, Ciobanu AM, Danasel RI, Panea CA. Psychiatric comorbidities in adult patients with epilepsy (A systematic review). Exp Ther Med. 2021;22(2):909.
  • Adachi N, Kanemoto K, de Toffol B, Akanuma N, Oshima T, Mohan A, et al. Basic treatment principles for psychotic disorders in patients with epilepsy. Epilepsia. 2013;54(Suppl 1):19-33.
  • Adachi N, Akanuma N, Ito M, Okazaki M, Kato M, Onuma T. Interictal psychotic episodes in epilepsy: duration and associated clinical factors. Epilepsia. 2012;53(6):1088-94.
  • Henning O, Nakken KO. Epilepsirelaterte psykoser [Epilepsy-related psychoses]. Tidsskr Nor Laegeforen. 2013;133(11):1205-9. Norwegian.
  • Seeman MV. Pseudocyesis, delusional pregnancy, and psychosis: the birth of a delusion. World J Clin Cases. 2014;2(8):338-44.
  • Paholpak P, Gan JJ, Mendez MF. Neuropsychiatric aspects of epilepsy. In: Sadock BJ, Sadock VA, Ruiz P, editors. Kaplan and Sadock's comprehensive textbook of psychiatry. 10th ed. Philadelphia: Wolters Kluwer; 2017. p.517.
  • Nagdive AB, Bhainsora RS, Fernandes R, Behere PB, Sethi S. Pseudocyesis leading to folie-à-deux. J Neurosci Rural Pract. 2021;12(2):419-23.

Delusional Pregnancy in a Patient with Epilepsy: A Case Report

Yıl 2024, Cilt: 26 Sayı: 2, 167 - 170, 30.08.2024
https://doi.org/10.18678/dtfd.1424051

Öz

Interictal psychosis is a psychotic symptom that is not temporally related to epileptic seizures. Pregnancy delusion is defined as a person's fixed belief that she is pregnant despite objective evidence that she is not pregnant. In this case report, pregnancy delusion was described in a patient with epilepsy. A 31-year-old woman with epilepsy was admitted to a psychiatric ward. The patient, whose pregnancy test results were never positive, believed that she was pregnant. It was learned that her identical twin had experienced reproductive-sexuality-themed psychotic symptoms 10 years ago. The patient was hospitalized for three weeks and discharged in remission with paliperidone 6 mg/day and biperiden 2 mg/day. Caution should be exercised when using antipsychotics because of their epileptogenic effects. Pregnancy delusion in epilepsy is rare. In addition to this rare condition, it is noteworthy that reproductive-sexual delusions were reported in the patient's twin brother who was diagnosed with epilepsy.

Kaynakça

  • Swinkels WA, Kuyk J, van Dyck R, Spinhoven P. Psychiatric comorbidity in epilepsy. Epilepsy Behav. 2005;7(1):37-50.
  • Irwin LG, Fortune DG. Risk factors for psychosis secondary to temporal lobe epilepsy: a systematic review. J Neuropsychiatry Clin Neurosci. 2014;26(1):5-23.
  • Clancy MJ, Clarke MC, Connor DJ, Cannon M, Cotter DR. The prevalence of psychosis in epilepsy; a systematic review and meta-analysis. BMC Psychiatry. 2014;14:75.
  • Bahali MK, Zengin M, Tamam L, Ozpoyraz N, Bozdemir H. Forced normalization: an important phenomenon in the relationship between psychiatric disorders and epilepsy. Psychiatry Clin Psychopharmacol. 2008;18(4):322-6.
  • Sachdev P. Schizophrenia-like psychosis and epilepsy: the status of the association. Am J Psychiatry. 1998;155(3):325-36.
  • Tascon-Cervera JJ, Crisostomo-Siverio AI, Cardenes-Moreno C, Dorta-Gonzalez JF, Morera-Fumero AL. Psychosis in epilepsy vs late-onset schizophrenia: a case report. Cureus. 2022;14(12):e32692.
  • Ray M, Kumar S, Sinha A, Pisharody RR. Delusion of pregnancy: conception in brain. Ind Psychiatry J. 2022;31(2):341-5.
  • Bera SC, Sarkar S. Delusion of pregnancy: a systematic review of 84 cases in the literature. Indian J Psychol Med. 2015;37(2):131-7.
  • Gurgu RS, Ciobanu AM, Danasel RI, Panea CA. Psychiatric comorbidities in adult patients with epilepsy (A systematic review). Exp Ther Med. 2021;22(2):909.
  • Adachi N, Kanemoto K, de Toffol B, Akanuma N, Oshima T, Mohan A, et al. Basic treatment principles for psychotic disorders in patients with epilepsy. Epilepsia. 2013;54(Suppl 1):19-33.
  • Adachi N, Akanuma N, Ito M, Okazaki M, Kato M, Onuma T. Interictal psychotic episodes in epilepsy: duration and associated clinical factors. Epilepsia. 2012;53(6):1088-94.
  • Henning O, Nakken KO. Epilepsirelaterte psykoser [Epilepsy-related psychoses]. Tidsskr Nor Laegeforen. 2013;133(11):1205-9. Norwegian.
  • Seeman MV. Pseudocyesis, delusional pregnancy, and psychosis: the birth of a delusion. World J Clin Cases. 2014;2(8):338-44.
  • Paholpak P, Gan JJ, Mendez MF. Neuropsychiatric aspects of epilepsy. In: Sadock BJ, Sadock VA, Ruiz P, editors. Kaplan and Sadock's comprehensive textbook of psychiatry. 10th ed. Philadelphia: Wolters Kluwer; 2017. p.517.
  • Nagdive AB, Bhainsora RS, Fernandes R, Behere PB, Sethi S. Pseudocyesis leading to folie-à-deux. J Neurosci Rural Pract. 2021;12(2):419-23.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Psikiyatri
Bölüm Olgu Sunumu
Yazarlar

Ömer Naim Sayer 0000-0001-8104-6219

Çiçek Hocaoğlu 0000-0001-6613-4317

Erken Görünüm Tarihi 10 Ağustos 2024
Yayımlanma Tarihi 30 Ağustos 2024
Gönderilme Tarihi 22 Ocak 2024
Kabul Tarihi 22 Mayıs 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 26 Sayı: 2

Kaynak Göster

APA Sayer, Ö. N., & Hocaoğlu, Ç. (2024). Delusional Pregnancy in a Patient with Epilepsy: A Case Report. Duzce Medical Journal, 26(2), 167-170. https://doi.org/10.18678/dtfd.1424051
AMA Sayer ÖN, Hocaoğlu Ç. Delusional Pregnancy in a Patient with Epilepsy: A Case Report. Duzce Med J. Ağustos 2024;26(2):167-170. doi:10.18678/dtfd.1424051
Chicago Sayer, Ömer Naim, ve Çiçek Hocaoğlu. “Delusional Pregnancy in a Patient With Epilepsy: A Case Report”. Duzce Medical Journal 26, sy. 2 (Ağustos 2024): 167-70. https://doi.org/10.18678/dtfd.1424051.
EndNote Sayer ÖN, Hocaoğlu Ç (01 Ağustos 2024) Delusional Pregnancy in a Patient with Epilepsy: A Case Report. Duzce Medical Journal 26 2 167–170.
IEEE Ö. N. Sayer ve Ç. Hocaoğlu, “Delusional Pregnancy in a Patient with Epilepsy: A Case Report”, Duzce Med J, c. 26, sy. 2, ss. 167–170, 2024, doi: 10.18678/dtfd.1424051.
ISNAD Sayer, Ömer Naim - Hocaoğlu, Çiçek. “Delusional Pregnancy in a Patient With Epilepsy: A Case Report”. Duzce Medical Journal 26/2 (Ağustos 2024), 167-170. https://doi.org/10.18678/dtfd.1424051.
JAMA Sayer ÖN, Hocaoğlu Ç. Delusional Pregnancy in a Patient with Epilepsy: A Case Report. Duzce Med J. 2024;26:167–170.
MLA Sayer, Ömer Naim ve Çiçek Hocaoğlu. “Delusional Pregnancy in a Patient With Epilepsy: A Case Report”. Duzce Medical Journal, c. 26, sy. 2, 2024, ss. 167-70, doi:10.18678/dtfd.1424051.
Vancouver Sayer ÖN, Hocaoğlu Ç. Delusional Pregnancy in a Patient with Epilepsy: A Case Report. Duzce Med J. 2024;26(2):167-70.
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