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March 1977

Menstrual Epileptoid Psychosis in an Adolescent Girl

Author Affiliations

From the Department of Pediatrics, Yale University School of Medicine, New Haven, Conn.

Am J Dis Child. 1977;131(3):316-317. doi:10.1001/archpedi.1977.02120160070012

• An adolescent girl with a previous history of trance-like states and a strong family history of epilepsy developed a pattern of recurrent brief psychotic episodes. These episodes seemed to coincide with her monthly menstrual periods, and after four to seven days of bizarre, catatonic behavior, she would return to a normal state. These episodes have been virtually eliminated by maintenance of a therapeutic blood level of phenytoin. The case is discussed in the light of the complex interrelationship of seizures, menstrual hormonal changes, and behavior.

(Am J Dis Child 131:316-317, 1977)

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