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Retrospective review identifies common psychosis types in epileptic patients, suggesting key predictors.
The files of 60 cases who received a diagnosis of epileptic psychosis in the period 1980-1985 were reviewed. Unclassifiable psychosis and paranoid hallucinatory states were the most common presentations. Except for the gap between onset of epilepsy and psychosis, there were no other predictors of type of psychosis. Shorter psychotic episodes tended to be characterised by pressure of speech, inappropriate affect, generalised epilepsy and more past episodes. Memory deficits were more often associated with a longer gap between onset of epilepsy and psychosis, and the presence of hallucinations.
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Fernandez et al. (1988) studied this question.
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