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Year : 2016  |  Volume : 11  |  Issue : 4  |  Page : 367-372

Psychiatric presentation of childhood epilepsy: Case series and review

1 Department of Psychiatry, PGIMER, Dr. RML Hospital, New Delhi, India
2 Department of Neurology, PGIMER, Dr. RML Hospital, New Delhi, India

Correspondence Address:
Rahul Saha
Assistant Professor, Department of Psychiatry, VMMC and Safdarjung Hospital, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1817-1745.199481

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Childhood-onset epilepsy has a varied presentation and may have different etiological factors. A multiaxial diagnostic approach should be used before making treatment and management decisions for any individual patient. It is widely accepted that distinction among primary psychiatric disorders, epilepsy, and nonepileptic seizures is a challenge for physicians. This case series demonstrated the identification of three atypical presentations of seizures in children on the basis of detailed history taking and electroencephalogram findings, despite having normal findings in neurological examination and magnetic resonance imaging. We report three rare cases of atypical presentation in epilepsy in patients with symptoms of episodic hallucinations, rage attacks, and secondary enuresis. Clinically, the diagnosis of epilepsy can be strengthened by paying sufficient attention to detailed history and symptom spectrum of partial epilepsy.


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