TREATMENT-RESISTANT EPILEPSY AND TREATMENT-RESISTANT SCHIZOPHRENIA; A REAL CHALLENGE FOR THE PSYCHIATRIC TEAM

Schizophrenia and epilepsy may exist together, but it is very rare to have a resistant form of both illnesses in one patient. We present a case report of a 49-year-old woman who was managed at our psychiatric facility suffering from treatment-resistant schizophrenia and epilepsy. She presented with...

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Autores principales:	Usama Bin Zubair, Eugene G Breen, Hamza Bin Zubair, Haytham Elhassan, Cathal P Coyne, Ibtihal Khair
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	epilepsy schizophrenia Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/55aca98644774cb696769a7ec997dfaf
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spelling	oai:doaj.org-article:55aca98644774cb696769a7ec997dfaf2021-11-25T03:04:17ZTREATMENT-RESISTANT EPILEPSY AND TREATMENT-RESISTANT SCHIZOPHRENIA; A REAL CHALLENGE FOR THE PSYCHIATRIC TEAM0030-96482411-8842https://doaj.org/article/55aca98644774cb696769a7ec997dfaf2021-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/4872/3648https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Schizophrenia and epilepsy may exist together, but it is very rare to have a resistant form of both illnesses in one patient. We present a case report of a 49-year-old woman who was managed at our psychiatric facility suffering from treatment-resistant schizophrenia and epilepsy. She presented with suspiciousness, fearfulness and with a belief that people in the hostel wanted to harm her and were putting hair on her bed. She was also having recurrent seizures weekly due to her refractory epilepsy secondary to mesial temporal sclerosis. She was non-compliant with medication and refused surgical management of mesial temporal sclerosis. Whilst in the hospital was on five antiepileptic drugs prescribed by the neurology team and these control the seizures. Olanzapine and paliperidone depot was used for schizophrenia which had a partial response. Clozapine was not considered in view of her severe uncontrolled epilepsy. Concerns were raised regarding her capacity to decide about treatment options. The possibility of an organic cause for both schizophrenia and epilepsy were considered.Usama Bin ZubairEugene G BreenHamza Bin ZubairHaytham ElhassanCathal P CoyneIbtihal KhairArmy Medical College RawalpindiarticleepilepsyschizophreniaMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 5, Pp 1906-1908 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	epilepsy schizophrenia Medicine R Medicine (General) R5-920
spellingShingle	epilepsy schizophrenia Medicine R Medicine (General) R5-920 Usama Bin Zubair Eugene G Breen Hamza Bin Zubair Haytham Elhassan Cathal P Coyne Ibtihal Khair TREATMENT-RESISTANT EPILEPSY AND TREATMENT-RESISTANT SCHIZOPHRENIA; A REAL CHALLENGE FOR THE PSYCHIATRIC TEAM
description	Schizophrenia and epilepsy may exist together, but it is very rare to have a resistant form of both illnesses in one patient. We present a case report of a 49-year-old woman who was managed at our psychiatric facility suffering from treatment-resistant schizophrenia and epilepsy. She presented with suspiciousness, fearfulness and with a belief that people in the hostel wanted to harm her and were putting hair on her bed. She was also having recurrent seizures weekly due to her refractory epilepsy secondary to mesial temporal sclerosis. She was non-compliant with medication and refused surgical management of mesial temporal sclerosis. Whilst in the hospital was on five antiepileptic drugs prescribed by the neurology team and these control the seizures. Olanzapine and paliperidone depot was used for schizophrenia which had a partial response. Clozapine was not considered in view of her severe uncontrolled epilepsy. Concerns were raised regarding her capacity to decide about treatment options. The possibility of an organic cause for both schizophrenia and epilepsy were considered.
format	article
author	Usama Bin Zubair Eugene G Breen Hamza Bin Zubair Haytham Elhassan Cathal P Coyne Ibtihal Khair
author_facet	Usama Bin Zubair Eugene G Breen Hamza Bin Zubair Haytham Elhassan Cathal P Coyne Ibtihal Khair
author_sort	Usama Bin Zubair
title	TREATMENT-RESISTANT EPILEPSY AND TREATMENT-RESISTANT SCHIZOPHRENIA; A REAL CHALLENGE FOR THE PSYCHIATRIC TEAM
title_short	TREATMENT-RESISTANT EPILEPSY AND TREATMENT-RESISTANT SCHIZOPHRENIA; A REAL CHALLENGE FOR THE PSYCHIATRIC TEAM
title_full	TREATMENT-RESISTANT EPILEPSY AND TREATMENT-RESISTANT SCHIZOPHRENIA; A REAL CHALLENGE FOR THE PSYCHIATRIC TEAM
title_fullStr	TREATMENT-RESISTANT EPILEPSY AND TREATMENT-RESISTANT SCHIZOPHRENIA; A REAL CHALLENGE FOR THE PSYCHIATRIC TEAM
title_full_unstemmed	TREATMENT-RESISTANT EPILEPSY AND TREATMENT-RESISTANT SCHIZOPHRENIA; A REAL CHALLENGE FOR THE PSYCHIATRIC TEAM
title_sort	treatment-resistant epilepsy and treatment-resistant schizophrenia; a real challenge for the psychiatric team
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/55aca98644774cb696769a7ec997dfaf
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TREATMENT-RESISTANT EPILEPSY AND TREATMENT-RESISTANT SCHIZOPHRENIA; A REAL CHALLENGE FOR THE PSYCHIATRIC TEAM

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