PDF(Pubmed)
Abstract：
UNASSIGNED: Epilepsy is still a real mental health problem; although most epilepsies are curable, their psychopathological consequences are often significant and complex to manage. In this framework, the association of epilepsy with psychotic disorders has long been known.
UNASSIGNED: To discuss the links between epilepsy and psychosis, we report the observation of a 52-year-old man, treated for complex focal epilepsy, admitted to a psychiatric department for auditory and visual hallucinations and a behavioural disorder not improved by antiepileptic treatment alone or an antipsychotic alone.
UNASSIGNED: Psychotic symptoms in epilepsy can be part of intercritical, post-critical or alternative psychoses. In our patient\'s case, the psychotic symptoms were post-critical and alternative. It was probably an associated schizophreniform disorder. Emotional indifference and activity restriction are rarely encountered in this setting, while rapid mood fluctuations are frequent. Delusional themes are often mystical, fueled by auditory and unusual visual hallucinations. Negative disorders are rare.
UNASSIGNED: Epileptic psychoses have not been identified as nosographic entities in the psychiatric classification systems (DSM-V and ICD-10), which poses a problem in recognizing these disorders. Therefore, a collaboration between psychiatrists and neurologists is necessary to understand this complex comorbidity better, avoid diagnostic errors, and optimize management.
UNASSIGNED: To discuss the links between epilepsy and psychosis, we report the observation of a 52-year-old man, treated for complex focal epilepsy, admitted to a psychiatric department for auditory and visual hallucinations and a behavioural disorder not improved by antiepileptic treatment alone or an antipsychotic alone.
UNASSIGNED: Psychotic symptoms in epilepsy can be part of intercritical, post-critical or alternative psychoses. In our patient\'s case, the psychotic symptoms were post-critical and alternative. It was probably an associated schizophreniform disorder. Emotional indifference and activity restriction are rarely encountered in this setting, while rapid mood fluctuations are frequent. Delusional themes are often mystical, fueled by auditory and unusual visual hallucinations. Negative disorders are rare.
UNASSIGNED: Epileptic psychoses have not been identified as nosographic entities in the psychiatric classification systems (DSM-V and ICD-10), which poses a problem in recognizing these disorders. Therefore, a collaboration between psychiatrists and neurologists is necessary to understand this complex comorbidity better, avoid diagnostic errors, and optimize management.
摘要：
未经证实：癫痫仍然是一个真正的心理健康问题；尽管大多数癫痫是可以治愈的，他们的精神病理学后果往往是重大和复杂的管理。在这个框架中,癫痫与精神障碍之间的联系早已为人所知.
未经授权：讨论癫痫和精神病之间的联系，我们报道了一个52岁男子的观察,治疗复杂局灶性癫痫，因听觉和视觉幻觉以及仅通过抗癫痫治疗或单独抗精神病药物无法改善的行为障碍而入院精神科。
未经证实：癫痫的精神病症状可能是相互交织的一部分，后批判或另类精神病。在我们病人的情况下，精神病性症状为危重症后和替代性症状.这可能是一种相关的精神分裂症。在这种情况下很少遇到情绪冷漠和活动限制，而快速的情绪波动频繁。妄想的主题往往是神秘的，由听觉和不寻常的视觉幻觉推动。消极障碍是罕见的。
未经评估：在精神病学分类系统（DSM-V和ICD-10）中，癫痫性精神病尚未被确定为非眼图实体，这给识别这些疾病带来了问题。因此,精神病学家和神经学家之间的合作对于更好地理解这种复杂的共病是必要的，避免诊断错误，优化管理。
未经授权：讨论癫痫和精神病之间的联系，我们报道了一个52岁男子的观察,治疗复杂局灶性癫痫，因听觉和视觉幻觉以及仅通过抗癫痫治疗或单独抗精神病药物无法改善的行为障碍而入院精神科。
未经证实：癫痫的精神病症状可能是相互交织的一部分，后批判或另类精神病。在我们病人的情况下，精神病性症状为危重症后和替代性症状.这可能是一种相关的精神分裂症。在这种情况下很少遇到情绪冷漠和活动限制，而快速的情绪波动频繁。妄想的主题往往是神秘的，由听觉和不寻常的视觉幻觉推动。消极障碍是罕见的。
未经评估：在精神病学分类系统（DSM-V和ICD-10）中，癫痫性精神病尚未被确定为非眼图实体，这给识别这些疾病带来了问题。因此,精神病学家和神经学家之间的合作对于更好地理解这种复杂的共病是必要的，避免诊断错误，优化管理。
