Postictal Psychosis Treated Successfully With Olanzapine

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Postictal psychosis is a significant psychiatric complication of chronic epilepsy estimated to occur in 2%-7.8% of epilepsy patients. Risk factors include bilateral seizure foci, bilateral limbic lesions, increase in seizure frequency, or a cluster of seizures preceding psychiatric symptoms. Seizure control can prevent postictal psychosis, which is often recurrent, but when present, immediate recognition of this disorder is critical.’ ‹