BMJ Case Reports 2012; doi:10.1136/bcr.03.2012.6056
  • Unexpected outcome (positive or negative) including adverse drug reactions

Psychosis and temporal lobe epilepsy-role of electroconvulsive therapy

  1. Amin Gadit
  1. Psychiatry Department, Memorial University of Newfoundland, St John’s, Canada
  1. Correspondence to Professor Amin Gadit, amin.muhammad{at}


A 49-year-old female presented for admission with features of being withdrawn, inability to comprehend questions, auditory hallucinations and disorganised thoughts. She also had a previous diagnosis of temporal lobe epilepsy. She did not respond well to psychotropic medications. During her sleep deprived EEG, she had a brief episode of seizures. Following this, she showed improvement in psychosis for a day or so. Based on this finding, it was decided to initiate a course of electroconvulsive therapy. She improved remarkably on six treatments. At the time of discharge, she was in a stable condition.


  • Competing interests None.

  • Patient consent Obtained.

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