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Combined symptomatology of psychosis, pica syndrome, and hippocampal sclerosis: A case report
Author(s) -
Rohde Judith,
Claussen Malte Christian,
Kuechenhoff Bernhard,
Seifritz Erich,
Schuepbach Daniel
Publication year - 2013
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.22064
Subject(s) - pica (typography) , psychosis , carbamazepine , psychology , risperidone , clozapine , diazepam , pharmacotherapy , psychiatry , hippocampal formation , schizophrenia (object oriented programming) , medicine , neuroscience , epilepsy , world wide web , computer science
Pica is the developmentally and culturally inappropriate eating of nonnutritive substances for at least 1 month. Herein, we present the case of a male patient that suddenly showed behavioral changes including aggressiveness, withdrawal, and perceptional disturbances at the age of 12. About 7 years later, pica symptoms emerged additionally. Neither pharmacotherapy nor electroconvulsive therapy led to success. Magnetic resonance imaging showed bilateral sclerosis of the hippocampus. The therapy with carbamazepine, clozapine, diazepam, and zinc finally improved the symptoms including the pica symptoms. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)