Oshima Tomohiro, Kato Etsushi, Tadokoro Yukari, Kanemoto Kousuke
Nihon Rinsho. 2014 May;72(5):902-6.
Epilepsy has an association with nearly all types of psychiatric problems and psychiatric symptoms are common clinical manifestations seen in epilepsy patients. For example, interictal depression in individuals with epilepsy is more prevalent than in the general population or among patients with other chronic disorders. The high frequency of depression and clinical impact of psychosis in epilepsy have been well documented in recent studies, indicating the importance of diagnosing and treating psychiatric implications in affected patients. This article reviews various psychiatric symptoms such as postictal psychosis, interictal psychosis, depression, psychogenic non-epileptic seizure(PNES), and cognitive dysfunction encountered in patients with epilepsy.
癫痫与几乎所有类型的精神问题都有关联,精神症状是癫痫患者常见的临床表现。例如,癫痫患者的发作间期抑郁比普通人群或其他慢性疾病患者更为普遍。近期研究充分证明了癫痫中抑郁的高发生率以及精神病的临床影响,这表明对受影响患者的精神问题进行诊断和治疗非常重要。本文综述了癫痫患者中出现的各种精神症状,如发作后精神病、发作间期精神病、抑郁、精神性非癫痫发作(PNES)和认知功能障碍。