Jonker A K, Verkade J J F, De Weerd A W
Voortgezette Behandeling Volwassenen van SEIN.
Tijdschr Psychiatr. 2007;49(8):581-5.
Epilepsy and psychiatric problems can occur simultaneously and can, quite unexpectedly, trigger interactions that may lead to life-threatening situations. This became obvious in the case of a female patient who suddenly developed a status epilepticus while admitted to hospital. The seizure was probably connected with secret self-induced vomiting which led to a low intake of antiepileptic medication. She used the vomiting to control emotionally charged post-traumatic intrusions. Both the vomiting and the number of seizures were triggered by a life event (in this case emigration). In case of epilepsy, early screening for psychopathology seems advisable because there may be interactions with epileptic variables.
癫痫和精神问题可能同时出现，而且可能会出人意料地引发相互作用，进而导致危及生命的情况。这在一名女性患者身上表现得很明显，她在住院期间突然出现癫痫持续状态。此次发作可能与秘密的自我诱导性呕吐有关，这导致抗癫痫药物摄入量低。她利用呕吐来控制创伤后充满情绪的侵扰。呕吐和癫痫发作次数均由一个生活事件（在本案例中为移民）引发。对于癫痫患者，早期筛查精神病理学问题似乎是可取的，因为可能存在与癫痫变量的相互作用。
