Long-lasting seizure-related anxiety in patients with temporal lobe epilepsy and comorbid psychiatric disorders

Details

Serval ID
serval:BIB_CCB0AC94BD6E
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Long-lasting seizure-related anxiety in patients with temporal lobe epilepsy and comorbid psychiatric disorders
Journal
Epileptic Disord
Author(s)
Boulogne S., Catenoix H., Ryvlin P., Rheims S.
ISSN
1950-6945 (Electronic)
ISSN-L
1294-9361
Publication state
Published
Issued date
09/2015
Volume
17
Number
3
Pages
340-4
Language
english
Notes
Boulogne, Sebastien
Catenoix, Helene
Ryvlin, Philippe
Rheims, Sylvain
eng
Case Reports
France
Epileptic Disord. 2015 Sep;17(3):340-4. doi: 10.1684/epd.2015.0757.
Abstract
Ictal anxiety is a frequent epileptic symptom; it is usually brief, associated with objective clinical signs, and is not positively influenced by external factors, in contrast to psychiatric disorders. These criteria can, however, be misleading, especially in patients with psychiatric comorbidities. We report two patients with a history of drug-resistant right temporal lobe epilepsy, who developed long-lasting psychiatric symptoms, suggestive of exacerbation of their comorbid anxiety disorder. However, intracranial EEG data and [(18)F] FDG-PET suggested that these symptoms were related to seizure activity, highlighting the difficulties in differentiating ictal symptoms from psychiatric episodes in some patients with epilepsy and comorbid psychiatric disorders. [Published with video sequence].
Keywords
Adult, Anxiety Disorders/*diagnosis/epidemiology/physiopathology, Comorbidity, Drug Resistant Epilepsy/*diagnosis/epidemiology/physiopathology, Epilepsy, Temporal Lobe/*diagnosis/epidemiology/physiopathology, Female, Humans, Young Adult, ictal anxiety, mesial status, panic attack, psychiatric seizure, temporal lobe epilepsy
Pubmed
Create date
29/11/2018 12:36
Last modification date
20/08/2019 15:47
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