Combined symptomatology of psychosis, pica syndrome, and hippocampal sclerosis: A case report

Authors

  • Judith Rohde MD,

    Corresponding author
    1. Clinic for Affective Disorders and General Psychiatry, Psychiatric University Hospital Zurich, University of Zurich, Switzerland
    • Psychiatric University Hospital Zurich, P.O. Box 1931, 8032 Zurich, Switzerland
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  • Malte Christian Claussen MD,

    1. Clinic for Affective Disorders and General Psychiatry, Psychiatric University Hospital Zurich, University of Zurich, Switzerland
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  • Bernhard Kuechenhoff MD,

    1. Clinic for Affective Disorders and General Psychiatry, Psychiatric University Hospital Zurich, University of Zurich, Switzerland
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  • Erich Seifritz MD,

    1. Clinic for Affective Disorders and General Psychiatry, Psychiatric University Hospital Zurich, University of Zurich, Switzerland
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  • Daniel Schuepbach MD

    1. Clinic for Affective Disorders and General Psychiatry, Psychiatric University Hospital Zurich, University of Zurich, Switzerland
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Abstract

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)

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