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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S427

Methodology

A literature review about the comorbidity between

ADHD and bipolar disorder in children and adolescents was per-

formed.

Results

According to different studies, between 60 and 90% of

children and adolescents with ADHD have comorbid bipolar dis-

order. However, the percentage of children and adolescents with

ADHD that has comorbid bipolar disorder varied from 10 to 22%

(puedes poner from 60 to 90% si no quieres repetir el and).

Conclusions

The prevalence of bipolar disease, particularly

among adolescents, is between 1 and 7%. This percentage is higher if

all forms of bipolar spectrum are included. Some personal and fam-

ily factors increase the probability of a patient having ADHDpresent

bipolar disease: decreased IQ, delayed development, family history

of ADHD or bipolar disease, and the combined subtype.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

Further reading

Figueroa Quintana A, et al. Comorbid ADHD and bipolar disorder

in children and adolescents: challenges in diagnosis and treat-

ment. In attention deficit disorder and hyperactivity throughout

life. Elsevier Spain SL, Masson, Madrid 2009 (pp 251–69). ISBN:

978-84-458-1907-4.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1228

EV244

Acute psychosis in an adolescent with

cerebral palsy

C.A. Moreira

1 ,

, A.R. Soares

2

, G. Maia

2

1

Centro Hospitalar Psiquiátrico de Lisboa, Psychiatry, Lisbon,

Portugal

2

Centro Hospitalar Lisboa Ocidental, Child and Adolescent

Psychiatry, Lisbon, Portugal

Corresponding author.

Introduction

Cerebral Palsy is a movement, posture or muscle

toning disorder caused by an insult to the immature, developing

brain, most often before birth. It is a leading cause for serious

disabilities in childhood and a risk factor for the development

of psychiatric disorders, particularly in adolescents. Moreover,

according to DSM-5, a Brief psychotic disorder is a short-term

illness with psychotic symptoms, which arise suddenly, but

last for less than one month, after which the person recovers

completely.

Objectives/Aims

The authors aim to present a case of an adoles-

cent with cerebral palsy who has developed secondary psychotic

symptoms, a rare and sparsely understood phenomenon.

Methods

A non-systematic review of English scientific literature

was conducted through research in the PubMed search engine,

using the keywords “Cerebral Palsy” and “Brief Psychotic Disorder”.

Results

A 16-year-old female adolescent with history of Cerebral

Palsy (due to neonatal anoxia) was admitted in the paediatric ward

due to behaviour disorder characterized by incoherent speech,

full insomnia, agitation and auto/alo-aggression. A complete clin-

ical investigation was performed, in which trauma, organic brain

injury, degenerative and inflammatory diseases, infection or toxic

ingestion were all excluded. The hypothesis of an acute psychotic

disorder was considered and after antipsychotic treatment, a total

remission of the symptoms was obtained.

Conclusions

Although rare, the association between cerebral

palsy and psychotic disorders should be considered in the diagnos-

tic investigation of behavioural changes. Early identification allows

a proper therapeutic intervention and a better quality of life.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1229

EV245

Psychiatric antiepileptics side effects:

A case report

C.A. Moreira

1 ,

, A.R. Soares

2

, G. Maia

2

1

Centro Hospitalar Psiquiátrico de Lisboa, Psychiatry, Lisbon,

Portugal

2

Centro Hospitalar Lisboa Ocidental, Child and Adolescent

Psychiatry, Lisbon, Portugal

Corresponding author.

Introduction

Psychiatric disorders in epilepsy have a multifac-

torial etiology, being pharmacotherapy only one of many risk

factors, which can be both biological and psychosocial. The adverse

effects of antiepileptics (AEDs) embrace all categories of psychi-

atric symptomatology, including disturbances of consciousness,

psychotic state, neurotic state, behaviour and character disorder. In

fact, Psychotropic effects of AEDs require further research because

many relevant parameters related to pathological mechanisms, fre-

quency, psychopathology, and prognosis are not well understood.

Objectives

The authors aimtopresent a case of an adolescentwith

epilepsy who has developed secondary psychiatric symptoms.

Aims

To understand and deal with the most common Psychiatric

side effects of AEDs.

Methods

A non-systematic review of English scientific literature

was conducted using keywords “Epilepsy” and “antiepileptic side

effects”.

Discussion

A 14-year-old female adolescent with history of

seven years of Epilepsy (usual medication: carabamazepine

45mg/kg/day, Lamotrigine 8mg/kg/day; pregabaline 8mg/kg/day)

was admitted in the paediatric ward due to behaviour disorder

characterized by agitation, anxiety and seizures-like symptoms.

A therapeutic adjust was made (Fenetoíne and Levetiracetam).

After this medication change, the adolescent presented psychotic

symptoms namely auditory and tactile hallucinations. A complete

clinical investigation was performed and the hypothesis of drugs

side effects was considered. After AEDs reduction, a total remission

of the symptoms was obtained.

Conclusion

Psychiatric disorders in epilepsy have amultifactorial

etiology and are not yet well understood. Behavioural side-effect

profiles of AEDs (both negative and positive effects) should be con-

sidered in the choice of the optimal drug for each patient.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1230

EV246

Drawing in autistic spectrum disorder

children

S. Cepedello

, L. Gallardo Borge , A. Alonso Sanchez ,

M.H. De la Red Gallego , A. Alvarez Astorga , S. Sanchez Gómez ,

R. Hernandez Anton , C. Noval Canga , E. Mayor Toranzo ,

I. Sevillano Benito

Hospital Clinico Universitario, psiquiatria, Valladolid, Spain

Corresponding author.

Introduction

Drawing can be a tool to complete the psychodi-

agnose process, especially in children with expression and verbal

problems. The Autistic Spectrum Disorder (ASD) children have

problems to describe their feelings and emotions, they can provide

us many information drawing their own world.

Objective

The purpose of this study was to discover the psy-

chopathology of children with ASD through their drawings.

Methods

A4-sized booklets were given for ASD children from6 to

16 years to draw an imaginary family (L. Corman), a human figure

(Buck) or a free drawing.

Results

In most of the drawings of ASD children we could find at

least one of the three criteria of ASD: social deficits, communication

difficulties and restricted interests.