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South African Journal of Psychiatry
Article . 2013 . Peer-reviewed
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South African Journal of Psychiatry
Article
License: CC BY
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South African Journal of Psychiatry
Article . 2013 . Peer-reviewed
Data sources: Crossref
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South African Journal of Psychiatry
Article
License: CC BY
Data sources: UnpayWall
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A case of nonconvulsive status epilepticus presenting as dissociative fugue

Authors: Almila Erol; Ayla Yigit; Gozde Dogan; Behiye Ozer;

A case of nonconvulsive status epilepticus presenting as dissociative fugue

Abstract

<p><span>Nonconvulsive status epilepticus is characterised by changes in behaviour, memory, affect or level of consciousness. We report a case of nonconvulsive status epilepticus precipitated by carbamazepine that presented as dissociative fugue. The patient was a 49-year-old man. He first experienced a tonic-clonic seizure nine years previously and was diagnosed with <em>grand mal</em> epilepsy. He had been using carbamazepine 800 mg daily for the last eight years. He had not had any tonic-clonic seizures since carbamazepine was introduced but began to display behavioural disturbances periodically. He also left home many times, and remembered nothing about the period he had been away after he returned. He was hospitalised with a preliminary diagnosis of dissociative fugue. He had recurrent episodes with dissociative symptoms during his stay in the hospital. An electroencephalogram (EEG) and a 24-hour video EEG revealed nothing abnormal. An EEG recording taken during an episode indicated complex partial status epilepticus. Carbamazepine was substituted with valproate, and the patient was discharged in remission. </span></p>

Keywords

Psychiatry, dissociative disorders, RC435-571, epilepsy, nonconvulsive status epilepticus, fugue

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Top 10%
Average
gold