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September 16, 2025European PsychiatryOpen Access

Post-ictal Psychosis: clinical case presentation and literature review

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Case presentation explores post-ictal psychosis symptoms in a patient with epilepsy, suggesting implications for treatment.

Post-ictal psychosis is likely the diagnosis in this patient, correlating with aggressive behavior and perceptual delusions, needing urgent intervention.
A significant aspect of post-ictal psychosis involves potential recurrence, with 25% of epileptic psychosis cases displaying this condition.
Management through effective anti-epileptic treatment can help prevent future seizures and related psychosis episodes.
Risperidone proved effective for acute management, highlighting the importance of selecting treatments that do not exacerbate convulsions.

Ramalheira et al. (2025) studied this question.

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