癫痫患者的发作后精神障碍(附3例报告)

目的探讨癫痫患者的发作后精神障碍的临床特点。方法回顾分析我中心2009～2010年进行术前评估的患者共98例,其中3例在进行视频脑电监测时出现明显的精神障碍,包括发作症状学、脑电图、MRI和治疗等相关资料都进行了回顾分析。结果所有患者都是在成簇的癫痫发作后出现精神障碍,在发作和精神症状之间都有一个相对正常的时期,精神障碍主要以幻听、幻视、躁狂、抑郁和攻击行为为特征。结论发作后精神障碍是慢性癫痫常见的并发症,早期识别对治疗和防止严重的意外伤害都是至关重要的。

Analysis of postictal psychiatric disorders in patients with epilepsy:3 cases report

Objective To discuss the clinical features of postictal psychiatric disorders in epilepsy patients.Methods Ninety-eight patients receiving presurgical evaluation from 2007 to 2009 were reviewed.The significant psychiatric disorders were reported in three epilepsy patients while they received video EEG montoring for presurgical evaluation.All the clinical data were retrospectively analyzed including semiology,EEG,MRI and the treatment.Results All the patients suffered from postictal psychiatric disorders after a cluster of epileptic seizures.There was a lucid interval between seizures and psychiatric symptoms in all patients.The psychiatric disorders were characterized by auditory and visual hallucinations,mania,depression and aggression.Conclusion Postictal psychiatric disorders are common psychiatric complication of chronic epilepsy.Recognition of this disorder is critical to initiate treatment and avoid severe accidental injury.