National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom.
Epilepsia. 2013 Mar;54 Suppl 1:41-5. doi: 10.1111/epi.12104.
This article supports a view that certain personality disturbances in epilepsy should be viewed as associated with the cerebral abnormalities that also lead to seizures. Herein I discuss two main variants: that related to temporal lobe epilepsy and that associated with juvenile myoclonic epilepsy. In view of its controversial nature, I also comment on the link between aggression and epilepsy. Recommendations for treatment include psychological and social therapies with further advice about the use of antiepileptic drugs (AEDs) and psychotropic medications in these conditions.
本文支持这样一种观点,即某些癫痫的人格障碍应被视为与导致癫痫发作的大脑异常有关。在此,我将讨论两种主要类型:与颞叶癫痫相关的类型和与青少年肌阵挛性癫痫相关的类型。鉴于其争议性质,我还对攻击性与癫痫之间的联系进行了评论。治疗建议包括心理和社会疗法,并进一步就这些情况下使用抗癫痫药物(AED)和精神药物提供了建议。