Epilepsi Tanılı Hastada Gebelik Sanrısı: Bir Olgu Sunumu

Year 2024, Issue: Early Access

Ömer Naim Sayer Çiçek Hocaoğlu

https://doi.org/10.18678/dtfd.1424051

Abstract

İnteriktal psikoz, epileptik nöbetlerle zamansal olarak ilişkili olmayan psikotik bir semptomdur. Gebelik sanrısı, bir kişinin hamile olmadığına dair nesnel kanıtlara rağmen hamile olduğuna dair sabit inancı olarak tanımlanır. Bu vaka raporunda, epilepsili bir hastada gebelik sanrısı tanımlanmıştır. Otuz bir yaşında epilepsi hastası bir kadın psikiyatri servisine yatırılmıştır. Gebelik test sonuçları hiçbir zaman pozitif çıkmayan hasta gebe olduğuna inanıyordu. Hastanın tek yumurta ikizinin 10 yıl önce üreme-cinsellik temalı psikotik belirtiler yaşadığı öğrenildi. Üç hafta hastanede yatan hasta paliperidon 6 mg/gün ve biperiden 2 mg/gün tedavisiyle remisyonla taburcu edilmiştir. Epileptojenik etkileri nedeniyle antipsikotik kullanırken dikkatli olunmalıdır. Epilepside gebelik sanrısı nadirdir. Bu nadir duruma ek olarak, hastanın epilepsi tanısı almış ikiz kardeşinde de üreme-cinsel sanrıların bildirilmiş olması dikkat çekicidir.

Keywords

Yalancı gebelik, epilepsi, psikoz

Delusional Pregnancy in a Patient with Epilepsy: A Case Report

Abstract

Interictal psychosis is a psychotic symptom that is not temporally related to epileptic seizures. Pregnancy delusion is defined as a person's fixed belief that she is pregnant despite objective evidence that she is not pregnant. In this case report, pregnancy delusion was described in a patient with epilepsy. A 31-year-old woman with epilepsy was admitted to a psychiatric ward. The patient, whose pregnancy test results were never positive, believed that she was pregnant. It was learned that her identical twin had experienced reproductive-sexuality-themed psychotic symptoms 10 years ago. The patient was hospitalized for three weeks and discharged in remission with paliperidone 6 mg/day and biperiden 2 mg/day. Caution should be exercised when using antipsychotics because of their epileptogenic effects. Pregnancy delusion in epilepsy is rare. In addition to this rare condition, it is noteworthy that reproductive-sexual delusions were reported in the patient's twin brother who was diagnosed with epilepsy.

Keywords

Pseudocyesis, epilepsy, psychosis

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