The Indian Journal of Pediatrics

, Volume 72, Issue 6, pp 529–531 | Cite as

Recurrent postictal depression with cotard delusion

  • D. N. MendhekarEmail author
  • Neeraj Gupta
Clinical Brief


Depression is a common occurrence among epileptic patients and constitutes, alongwith anxiety disorders, the most frequent psychiatric condition in these patients. However, little work is done in the area of post-ictal depression especially in children with epilepsy. Here, the authors report an adolescent boy who developed recurrent depression associated with Cotard’s delusion following complex partial seizure at the age of 7 years. Trial of antidepressant drug and lithium worsened the clinical picture but ultimately he responded well to carbamazepine. This case is unique in its presentation due to recurrent depression itself is rare at this age and secondly rarity of onset of Cotard delusion in prepubertal phase. This case also showed that postictal depression is biological process rather than psychological and social reaction. Prompt identification and management of underlying cause would definitely prevent further complication and would also prevent the child from exposing unnecessary with various pharmacological treatments

Key words

Epilepsy Depression Delusion Child and Ictal 


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Copyright information

© Dr. K C Chaudhuri Foundation 2005

Authors and Affiliations

  1. 1.Department of PsychiatryG.B. Pant HospitalNew DelhiIndia

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