Extended Delirium Treated as Psychosis

Abstract Delirium is a commonly seen neuropsychiatric disorder that may extend over time, lasting for more than 60 days, thus increasing the risk of cognitive and behavioral outcomes in patients. Electroconvulsive therapy (ECT) is one of the treatment modalities for behavior control but may be assoc...

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Bibliographic Details
Published inAnnals of Indian Psychiatry Vol. 8; no. 2; pp. 157 - 159
Main Authors Sawant, Neena, Rathod, Anuradha D., Kulkarni, Swara, Rupani, Karishma
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer - Medknow 01.04.2024
Medknow Publications and Media Pvt. Ltd
Wolters Kluwer Medknow Publications
Edition2
Subjects
Care and treatment
Case Report
Case studies
Delirium
Diagnosis
extended delirium
piracetam
Psychiatric research
Psychoses
psychosis
status epilepticus
tardive seizure
India
tardive seizure
status epilepticus
piracetam
Extended delirium
psychosis
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ISSN2588-8366
2588-8358
2588-8366
DOI10.4103/aip.aip_67_23

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Summary:Abstract Delirium is a commonly seen neuropsychiatric disorder that may extend over time, lasting for more than 60 days, thus increasing the risk of cognitive and behavioral outcomes in patients. Electroconvulsive therapy (ECT) is one of the treatment modalities for behavior control but may be associated with rare complications such as tardive seizure, convulsive status epilepticus, and prolonged postictal confusion. We report a case of acute psychosis who was given consecutive 2 ECTs, after which she developed probable tardive seizure in the recovery period, followed by status epilepticus and extended delirium lasting for more than 2½ months, but was misdiagnosed as psychosis and treated with several antipsychotic medications. As there was no improvement in her condition, she was then transferred to a tertiary center for further management.
ISSN:2588-8366
2588-8358
2588-8366
DOI:10.4103/aip.aip_67_23