Department of Human Neurosciences, Neurology Unit, 'Sapienza' University of Rome, Rome, Italy.
Neurophysiopathology Department, IRCCS Neuromed Institute, Pozzilli IS, Italy.
Neurocase. 2020 Apr;26(2):98-102. doi: 10.1080/13554794.2020.1741647. Epub 2020 Mar 31.
Psychiatric disorders represent common comorbidities in epileptic patients. Sometimes anxiety is part of the ictal semiology, especially during seizures arising from/involving frontal or temporal lobes. We describe a patient with focal epilepsy and recurrent hyperkinetic seizures who also presented prolonged episodes characterized by massive anxiety, alarm and fear. A Video-Electroencephalographic monitoring performed during one of these attacks revealed a continuous epileptiform activity over the right frontal regions, consistent with a focal non-convulsive status epilepticus accounting for the patient's psychiatric symptoms. Our case confirms the complex relationship between epilepsy and anxiety. A review of the literature is also included.
精神障碍是癫痫患者常见的共病。有时，焦虑是癫痫发作的部分症状，尤其是在起源于/涉及额叶或颞叶的癫痫发作中。我们描述了一位局灶性癫痫和反复发作的运动性癫痫患者，他还表现出持续时间较长的发作，伴有明显的焦虑、惊恐和恐惧。在其中一次发作期间进行的视频-脑电图监测显示，右侧额叶区域有持续的癫痫样活动，符合局灶性非惊厥性癫痫持续状态，这可以解释患者的精神症状。我们的病例证实了癫痫和焦虑之间的复杂关系。本文还对文献进行了回顾。
