Postpartum psychosis in Sturge–Weber syndrome: A case report

Saraf, Anantprakash Siddharthkumar; Babhulkar, Sneh; Joge, Vivek P

doi:10.4103/psychiatry.indianjpsychiatry_560_18

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Singh et al 14 detailed a case of choroidal hemangioma diagnosed during pregnancy, which was managed conservatively until photodynamic therapy could safely be performed after delivery. Another case reported postpartum psychosis; pregnancy was not discussed but it was reported that the child was healthy 15 …”

Section: Resultsmentioning

confidence: 99%

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Pregnancy and refractory epilepsy in Sturge–Weber syndrome: Challenges and outcomes

Olson

McKee

2023

Epileptic Disorders

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Sturge–Weber Syndrome (SWS) is a rare neurocutaneous disorder caused by focal vascular dysplasia. It is associated with facial angiomas, ocular abnormalities, epilepsy, intellectual disability, and leptomeningeal angiomas. There is a paucity of literature regarding the management of epilepsy and pregnancy in women with SWS. The effects of pregnancy on this syndrome therefore remain largely undefined. Consensus on management is needed; as pregnancy has widespread effects on the vascular system and therefore may pose risk in women with SWS. This is a comprehensive review of the existing literature and case report of a woman with SWS, refractory epilepsy, and a successful pregnancy and delivery. Fifteen cases were found and, in addition to our case, 14 cases were reviewed, 11 of which discuss labor and delivery. Neurological complications were described in four cases and successful delivery without complication occurred in seven patient cases.

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Section: Resultsmentioning

confidence: 99%

“…Another case reported postpartum psychosis; pregnancy was not discussed but it was reported that the child was healthy. 15 Most recently, two cases in 2022 were reported in India. One woman experienced focal seizures at 28 weeks' gestation but had self-discontinued ASMs.…”

Section: Other Casesmentioning

confidence: 99%

Pregnancy and refractory epilepsy in Sturge–Weber syndrome: Challenges and outcomes

Olson

McKee

2023

Epileptic Disorders

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“…Although several case reports have shown an association between anti-NMDAR encephalitis and ATPD,[ 131 132 133 134 135 136 137 138 139 140 141 142 143 ] a recent study, however, failed to detect anti-NMDA antibodies in patients with acute psychosis with one clinical feature suggestive of autoimmune etiology. [ 56 ] Other diseases that have been reported in case reports/series to be associated with the onset of acute psychosis include quadrigeminal cistern lipoma,[ 144 ] porencephalic cyst,[ 145 ] acute disseminated encephalomyelitis,[ 146 ] Moyamoya disease,[ 147 148 ] retinitis pigmentosa,[ 149 ] acute cutaneous lupus erythematosus,[ 150 ] systemic lupus erythematosus,[ 151 ] primary Sjogren’s syndrome,[ 152 ] complex partial seizure,[ 153 ] post-ictal phase,[ 154 ] COVID-19 infection,[ 155 ] viral encephalitis,[ 156 ] subacute sclerosing panencephalitis,[ 157 ] disseminated neurocysticercosis,[ 158 ] Scrub typhus,[ 159 ] severe hypothyroidism,[ 160 ] hyperthyroidism,[ 161 ] Hashimoto’s thyroiditis,[ 162 ] hypoglycemia,[ 163 ] panhypopituitarism,[ 164 ] Cushing’s syndrome,[ 165 ] leukodystrophy,[ 166 ] cerebral venous sinus thrombosis,[ 167 ] thalamic infarct,[ 168 ] Stickler syndrome,[ 169 ] Sturge–Weber syndrome,[ 170 ] Mayer–Rokitansky–Kuster–Hauser syndrome,[ 171 ] immunoglobulin G4 (IgG4)-related disease,[ 172 ] Fahr’s syndrome with pseudopseudohypoparathyroidism,[ 173 ] and Wilson’s disease. [ 174 ]…”

Section: Resultsmentioning

confidence: 99%

Acute and transient psychotic disorders: A review of Indian research

Grover,

Kathiravan

2023

Indian Journal of Psychiatry

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Background: Acute and transient psychotic disorder (ATPD) was recognized as separate from other psychotic disorders and described in the International Classification of Diseases (ICD) tenth revision for the first time. A lot of research on ATPD has been conducted in India over the last six decades, but a review focusing exclusively on Indian research on ATPD is not available. Aim: This paper aims to review the literature on ATPD emerging from India. Methodology: A combination of search terms “Acute and Transient Psychosis,” “acute psychosis,” “non-affective psychosis,” “non-affective psychotic disorder,” “reactive psychosis,” “first-episode psychosis,” and “India” were searched on various search engines like PUBMED, Medknow, Hinari, and Google Scholar. We also did a hand search for additional relevant articles, including published abstracts of the Indian Journal of Psychiatry from 2007 to 2023. Relevant papers were selected. Results: The prevalence of ATPD varies across different study settings, and it tends to have an abrupt to acute onset, and is primarily associated with stress. Few studies have assessed the subtypes of ATPD, and symptom profile has been inconsistently reported. There is a lack of trials on the effectiveness or efficacy of antipsychotics in ATPD patients. In a large proportion of patients initially diagnosed with ATPD, the diagnosis remains stable, with recurrence varying from 10% to 46.6% based on the duration of follow-up. Conclusion: There is a need for more multicentric studies, studies with larger sample sizes, and consistency in data about risk factors. There is a need to evaluate symptom profile, course, outcome, and treatment outcomes in patients with ATPD using validated instruments to improve our understanding. Further, there is a need for comparative studies to evaluate the risk factors for ATPD.

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