European Psychiatry - Volume 33 - March 2016

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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.
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.
EV1407
Autoimmune limbic encephlitis. A
rising differential diagnosis between
diseases with psychiatric symptoms
C. Martín Álvarez ∗, F. Cadenas Extremera , V. Alonso García ,
M. del Valle Loarte , M. Bravo Arraez , V. Mainar de Paz
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.
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