The Primary Care Companion just published a case study that examines obsessive-compulsive Phenomena as postictal behavioral change.

A CLOSER LOOK AT OBSESSIVE-COMPULSIVE BEHAVIORS STEMMING FROM EPILEPSY

In simple terms, this report discusses a case of a 23-year-old man with epilepsy who experiences obsessive-compulsive behaviors (OCP) as part of his post-seizure phase. These behaviors include self-muttering, repetitive hand and face washing, low mood, anxiety, and restlessness. The patient has had epilepsy since the age of 3, and his seizures are followed by a postictal phase where he exhibits these obsessive-compulsive manifestations for 48 to 96 hours. Despite previous treatment, poor seizure control prompted a switch to carbamazepine, leading to one month of seizure freedom.

The report highlights that postictal behavioral changes, including obsessive-compulsive symptoms, can significantly impact the quality of life for epilepsy patients. The case is considered rare, as obsessive-compulsive behaviors in the postictal phase are not commonly reported.

The research also suggests the need for further research to understand the connection between these behaviors and seizure activity, not only in epilepsy patients but also in those with other psychiatric disorders.

 

Source: psychiatrist.com, Denis Storey

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