1. Dr. KUNAL KUMAR - Head of Department of Psychiatry, SMS&R, Sharda University.
2. Dr. ABHINIT KUMAR - Professor, Department of Psychiatry, SMS&R, Sharda University.
3. Dr. NIKHIL NAYAR - Assistant Professor, Department of Psychiatry, SMS&R, Sharda University.
4. Dr. PARIKA KOCHHAR - Residents, Department of Psychiatry, SMS&R, Sharda University.
5. Dr. ABHINAV DHANKAR - Residents, Department of Psychiatry, SMS&R, Sharda University.
6. Dr. SOURABH OJHA - Residents, Department of Psychiatry, SMS&R, Sharda University.
7. Dr. SIDDHARTH BHARGAVA - Department of Psychiatry, Sharda Hospital, School of Medical Sciences and Research, Sharda University,
Greater Noida, Uttar Pradesh, India.
Seizures are symptoms due to abnormal discharges from neurons in the central nervous system. Childhood epilepsy is a particular concern to psychiatrists because it is often associated with behavioural problems. Studies have noted the occurrence of psychiatric comorbidities with epilepsy. The psychiatric comorbidities include depression (36.4%), anxiety disorders (15-50%), attention-deficit hyperactivity disorder (ADHD) (29.1%), and conduct disorder. The conduct disorder also appears to be more common in children of biological parents with severe alcohol use disorder, depressive and bipolar disorders, or schizophrenia or biological parents who have a history of ADHD or conduct disorder. Here we present the case of a 13y Hindu unmarried female, not going to school for more than 8-9 years, with behavioural and social problems since childhood, with past history of a fall, patient’s mother and other members of the family c/o sudden episodes of unresponsiveness with jerky movements of hands and feet, abusive-violent and unsocial behaviour, and frequent complaints of stealing, which was gradual in onset and continuous in the course since many years. On MSE pt. was unkempt, untidy, restless, cooperative with a frank attitude, loud and overfamiliarity in speech, irritable affect, easily distractible, below average intelligence, and grade 1 insight. On MRI Brain there post ictal changes in the frontal lobe and the patient had abnormal awake EEG.
REVISITING A DIAGNOSTIC CONUNDRUM: SEIZURE DISORDER MIMICKING CONDUCT DISORDER - A COMPREHENSIVE CASE ANALYSIS