SYMPOSIA

Poster Presentations
ascending dopaminergic pathways due to GABAergic inhibition of the substantia nigra has been proposed (3). The true prevalence of
topiramate-induced psychosis is not known. Although there have only been a few case reports of topiramate-induced psychosis, an
antiepileptic drug survey group found the incidence to be 1.5% in 596 patients (2). The risk of this side effect may be greater in the general
population as studies of topiramate exclude patients with past psychiatric history and past psychiatric history is the most important
predictor for psychiatric adverse events. As epilepsy could overlap with psychiatric conditions at a rate of 50-60% including mood, anxiety,
and psychotic disorders, clinicians should be cautious in diagnosing drug–induced psychosis.
Key words: Topiramate, antiepileptic, drug-induced psychosis
Bulletin of Clinical Psychopharmacology 2011;21(Suppl. 2):S181-2
[PP-099] Ref. No: 170
Glass-aating behaviour with radiological findings: A pica case
Neslihan Akkişi Kumsar, Atila Erol
Sakarya Training and Research Hospital, Sakarya, Turkey
E-mail: drneslihanakkisi@yahoo.com
Pica is the persistent, compulsive ingestion of non-nutritive substances, which includes eating disorders with unusual cravings. Etiologies
of consumption of common and bizarre substances range from mineral deficiencies and helminthic infestations to cultural preferences.
Recently, pica has been linked to obsessive-compulsive (OCD) spectrum disorders.
Although there are few epidemiological studies and likely underreporting by embarrassed patients, pica exists in all ages, races, genders,
and geographical regions. Lower socioeconomic groups, young children, pregnant women, or nursing mothers with increased nutritional
demands are at higher risk, as well as those with brain damage, epilepsy, mental retardation, psychosis, or dementia.
Case Report: A 32-year-old, primary school graduate, unemployed, male patient referred to psychiatry clinic with glass eating behavior
for 10 years. There was not any history of psychiatry referral before the development of glass eating craving. He was referred to psychiatry
clinic with this craving and had difficulty to quit eating glass. In psychiatric examination we found cleaning and control obssessions.
The cranial MRI showed decrease in size of in corpus callosum, enlargement in Sylvian fissure and sulcus, asymmetry in III. and lateral
ventricules.
Discussion: In literature we did not a pica case like this one regarding glass eating. Even most pica cases are associated with element
deficiency in our case there was not any deficiency. Because of obsessive symptoms, it might be associated with obsessive spectrum
disorders with radiological findings. In OCD spectrum disorders, pica should also be considered and radiological investigation must
always be done.
Key words: Obsessive compulsive spectrum, pica, corpus callosum
Bulletin of Clinical Psychopharmacology 2011;21(Suppl. 2):S182
[PP-100] Ref. No: 209
The use of bupropion in treatment Kleptomania’s: Two cases
Özyıl Öztürk Sarıkaya 1 , Demet Güleç Öyekçin 2
1Bursa Devlet Hastanesi, AMATEM Birimi, Bursa, Turkey
2On Sekiz Mart ÜTF Psikiyatri AD, Çanakkale, Turkey
E-mail: ozyilsarikaya@yahoo.com
Objective: Kleptomania is an impulse control disorder, which is characterized by one’s uninterrupted impulse of stealing objects
that needed neither for use nor for value, in a repetitive uncontrollable manner (1). Studies stated that those with kleptomania are
accompanied by other psychiatric conditions such as mood disorders, other impulse control disorders, or substance abuse and addiction
(2).
For the treatment, selective serotonin reuptake inhibitors, mood stabilizers, and opioid receptor antogonists have been shown to be
effective. In recent years, treatment for pathological gambling and trichotillomania as other impulse control disorders in which naltrexone
and bupropion were studied for effective treatment of pathological gambling and trichotillomania, bupropion has been found to be as
effective as naltrexone (3-4).
S182 Bulletin of Clinical Psychopharmacology, Vol: 21, Supplement: 2, 2011 - www.psikofarmakoloji.org