Alyanak Behiye
İstanbul University İstanbul Faculty of Medicine, Department of Child Psychiatry, İstanbul, Turkey.
Noro Psikiyatr Ars. 2013 Dec;50(4):291-294. doi: 10.4274/npa.y6990. Epub 2013 Dec 1.
An epileptic seizure, can cause trauma for its sudden emergence, leading to functional impairment, accidents and injuries, and fear of death. The seizure can be traumatizing itself, besides, an head trauma that may occur during the seizure can also cause epilepsy. As the severity and duration of epilepsy increases, disturbances in development and traumatic effects occur. Conversion (psychogenic) seizures may be added over the years in epileptic patients. The comorbidity of trauma-related dissociative disorder and psychogenic seizures is observed in approximately half of the cases. Dissociative disorders are known to occur in children with chronic diseases due to the traumatic effect of the disease. Conversion disorder and psychogenic seizures are frequently seen in dissociative disorders. Posttraumatic stress disorder, dissociative disorders, and psychogenic seizures are often comorbid diagnoses in epilepsy. For this reason, traumatic effect and associated dissociative disorder dimension should be kept in mind in the psychiatric approach when handling with cases of epilepsy.
癫痫发作因其突然出现可造成创伤，导致功能损害、意外事故和伤害以及对死亡的恐惧。发作本身就可能造成创伤，此外，发作期间可能发生的头部创伤也可导致癫痫。随着癫痫严重程度和持续时间的增加，会出现发育障碍和创伤性影响。多年来，癫痫患者可能会出现转换性（精神性）发作。在大约一半的病例中观察到与创伤相关的分离性障碍和精神性发作的共病情况。已知由于疾病的创伤性影响，慢性病患儿会出现分离性障碍。转换障碍和精神性发作在分离性障碍中很常见。创伤后应激障碍、分离性障碍和精神性发作在癫痫中常常是共病诊断。因此，在处理癫痫病例时，精神科方法应牢记创伤性影响和相关的分离性障碍维度。
