Epilepsi og depresjon

Henning, Oliver; Nakken, Karl Otto

doi:10.4045/tidsskr.10.0739

Cited by 4 publications

(6 citation statements)

References 37 publications

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“…Several studies have found that epilepsy and affective disorders have many common pathophysiological features (20 -24). Extensive comorbidity of affective disorders, particularly depressions (25), bipolarity (26,27) and epilepsy, the discovery of an increasing number of common pathogenetic features and the benefit derived from anticonvulsants and antidepressants by patients in both diagnostic groups (28) indicate that these two conditions are more closely related than previously believed.…”

Section: Discussionmentioning

confidence: 99%

En mann i 40-årene med flere krampeanfall

Rezvy¹,

Sørlie²

2013

Tidsskriftet

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A man in his forties had been repeatedly assessed over a period of 15 years at neurological departments and specialised epilepsy hospitals. The conclusion was always psychogenic, non-epileptic seizures (PNES), but there were no proposals for treatment. Prior to the current treatment he had also undergone several psychiatric assessments, which found the seizures to be dissociative and consistent with psychogenic, non-epileptic seizures. Psychotherapeutic and medical approaches had been ineffective. Alcohol is known to trigger seizures, exacerbate seizure control in epilepsy patients or induce epilepsy. In every third acute admission after an epileptic attack, more alcohol than normal has been consumed prior to the episode (1). Episodes triggered by fever are also common, but more frequent in children. As a rule these do not cause brain damage (2). Psychogenic, non-epileptic seizures can be defined as an observable, sudden seizure-like change in behaviour or consciousness which resembles an epileptic seizure but is not accompanied by the EEG changes that are characteristic of epileptic seizures or by other evidence of epilepsy or other somatic causes. However, many believe that cases of acute admissions with major, dramatic, GTC-like seizures where psychiatric examination does not reveal a mental disorder could be classified as conversion/dissociation. As a result these seizures are classified as dissociative/ psychogenic non-epileptic seizures.On three occasions he was assessed at specialised epilepsy centres. 24-hour, 26-channel

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Section: Discussionmentioning

confidence: 99%

En mann i 40-årene med flere krampeanfall

Rezvy¹,

Sørlie²

2013

Tidsskriftet

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“…Motforestillingen er at informasjon kan for noen skape ytterligere angst og usikkerhet. Denne pasientgruppen har allerede betydelig større psykiske vansker enn den øvrige befolkningen (11,12). Dessuten, stress og angst kan øke sannsynligheten for anfall.…”

Section: Hva Taler For Og Imot å Gi Informasjonen?unclassified

Bør epilepsipasienter og pårørende informeres om risikoen for plutselig død?

Nakken¹,

Henning²

2020

Tidsskriftet

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Karl O. Nakken er dr.med., spesialist i nevrologi og tidligere medisinsk ansvarlig ved Nevroklinikken, Spesialsykehuset for epilepsi, fra 2016 deltidspensjonist. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. OLIVER HENNING Oliver Henning er nevrolog og overlege ved Nevroklinikken, Spesialsykehuset for epilepsi. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter.

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“…Prolonged epileptic seizures such as in complex partial status epilepticus (CPSE, non-convulsive status) can give rise to long-term impaired consciousness, automatisms, affective changes, confusion, amnesia, fear or schizophreniform disorder symptoms (25). Temporal lobe epilepsy can cause sudden, temporary anxiety or deep despair (3,25). Frontal lobe epilepsy can manifest itself in seizures with bizarre behaviour.…”

Section: Psychiatric Symptoms May Be Caused By Epilepsymentioning

confidence: 99%

“…Epileptic seizures can also be followed by temporary psychiatric symptoms, such as postictal psychosis or postictal depression. There is typically a symptom-free interval of up to one week (3,25).…”

Section: Psychiatric Symptoms May Be Caused By Epilepsymentioning

confidence: 99%