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S796

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

especially those with temporal lobe epilepsy. The postictal psy-

chosis according to several publications can occur in up to 25%

of patients with epilepsy. The psychotic disorder usually occurs

within 24–48 hours after, be transient, with good response to treat-

ment with antipsychotics and complete remission of psychotic

symptoms. This case is for a woman of 58 years diagnosed with

structural epilepsy after brain abscess left temporal intervened in

childhood. The patient is being followed by neurology for com-

plex partial seizureswith secondary generalization in anti-epileptic

treatment. The patient has previous studies of EEG, video EEG and

brain MRI, evidence involvement of temporal lobe and hippocam-

pus. The patient is brought to the emergency room after episode

of sensory aphasia, unconsciousness and tonic-clonic limb move-

ments, decreasing with diazepam. The patient, during the stay

under observation, has auditory hallucinations, that generate anx-

iety must initiate being him quetiapina and clonazepam orally,

yielding partially psychotic disorder, acute intracranial lesions are

discarded and the patient is admitted by neurology. The evo-

lution of psychotic disorder with antipsychotic down in a few

weeks remaining asymptomatic. Epileptic psychosis is more com-

mon in refractory epilepsy. In all cases, you should make a joint

approach between psychiatry and neurology, usually they have

good response to antipsychotics.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2390

EV1406

Hypersensitivity to electricity: What

place in clinical psychiatry?

V. Maria Iulia

, B.D. Diane

University Hospital of Reims, Adult psychiatry, Reims, France

Corresponding author.

Hypersensitivity to electricity (EHS) is a self-defined syndrome

where individuals experience symptoms while using or being in

the proximity of equipment or devices that use electric, magnetic

or electromagnetic fields. We present the case of a 45-year-old

patient who received an EHS diagnosis several years ago. This

patient was first sent to us for hospitalization in the psychiatric

ward with mystic delusions and secondary behavior disorders. He

had no remarkable psychiatric history and the thorough somatic

examinations performed showed no anomaly. The EHS had first

appeared 10 years agowith associated symptoms like fatigue, dizzi-

ness, headache, cognitive disturbances, as well as physically painful

sensations. These symptoms had become gradually invalidating,

preventing the patient frompursuing his professional activity. Nev-

ertheless, he maintained his social and familial obligations, and,

together with his wife, was still able to care for his 2 children.

The patient presented, in the emergency ward, with delusions of

mystical and persecuting nature of multiplemechanisms with total

adherence. The initial symptomatology gradually improved under

antipsychotic treatment without any real improvement of the EHS

complaint. This case brought several questions. What is the place

of the EHS diagnosis within the framework of a delirious episode?

Is there a link between these two diagnoses and more generally is

there a psychiatric profile more frequently found in EHS patients?

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2391

EV1407

Autoimmune limbic encephlitis. A

rising differential diagnosis between

diseases with psychiatric symptoms

C. Martín Álvarez

1 ,

, F. Cadenas Extremera

1

, V. Alonso García

1

,

M. del Valle Loarte

2

, M. Bravo Arraez

3

, V. Mainar de Paz

3

1

Fuenlabrada Universitary Hospital, Fuenlabrada, Departament of

Psychiatry, Fuenlabrada, Spain

2

Fuenlabrada Universitary Hospital, Fuenlabrada, Department of

Neurology, Fuenlabrada, Spain

3

José Germain Psychiatric Institute, Departament of Psychiatry,

Leganes, Spain

Corresponding author.

Introduction

In psychiatric clinical practice, we can face numer-

ous organic diseases in the differential diagnosis between primary

psychiatric disorders. As an example of this, we can see the autoim-

mune limbic encephalitis(LE), which in a significant percentage of

cases begins with psychiatric symptoms. Currently, one of the the-

ories of the origin of the LE is as a idiopathic autoimmune entity,

leaving behind the idea of been generated only by a viral or para-

neoplastic etiology.

Objective

To achieve a better knowledge about this underdiag-

nosed entity, presenting a case of an anti-LGI1 limbic encephalitis.

Case

A 60-year-old Caucasian woman who starts with neu-

ropsychiatric symptoms as: behavioral disorders, manic symptoms,

memory impairment and attention deficit.

Results

Finally, the diagnosis was confirmed when the patient

had positive results in both serum and CSF samples for anti-

LGI1 antibodies. Gastric neuroendocrino tumour type I was

discovered. Neither paraneoplasic syndrome nor onconeuronal

antibodies were shown. A thin hyperintense signal was identified

in the left hippocampus using a brain MRI. Despite the patient

had been treated with corticosteroids, immunosuppressants and

immunoglobulins, she still showed positive antibodies in CSF sam-

pleswith poor clinical results, especially psychiatric symptoms. The

patient required one psychiatric hospitalization due to reference

and persecutory delusions and manic symptoms.

Conclusion

Our patient had anunsatisfactory evolutionwith little

response to immune treatment. Given the possible underdiagnosis

of this condition, the importance of a differential diagnosis and an

early treatment, we consider that there is an important need for a

greater knowledge and scientific divulgation of this clinical entity.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2392

EV1408

Burnout and associated factors among

Tunisian teachers

R. Masmoudi

, D. Trigui , S. Ellouze , R. Sellami , I. Baati , I. Feki ,

J. Masmoudi

Hédi Chaker University Hospital, Psychiatry “A”, Sfax, Tunisia

Corresponding author.

Introduction

Teachers are confronted with increasing difficulties

and demands that make them vulnerable to burnout.

Aims

To evaluate burnout among a population of Tunisian teach-

ers and to identify factors that may be involved.

Methods

It was a cross-sectional, descriptive and analytic study,

involving 165 teachers working in 10 primary schools and

7 high schools in Sfax, Tunisia. The participants completed a

self-questionnaire containing their socio-demographic and pro-

fessional characteristics. They were explored by the scale of the

burnout: Le Maslach Burnout Inventory General Survey (MBI-GS).

Results

The mean age of teachers was 39.96 years. The sex ratio

(M:F) was 1.32. Themajority (75.2%) wasmarried. The burnout syn-

dromewas found in 49.7% of teachers. Moderate burnout was found