Relación entre psicopatología y epilepsia en la infancia: a propósito de un caso de esclerosis mesial temporal

Q4 Medicine

Psiquiatria Biologica Pub Date : 2021-01-01 DOI:10.1016/j.psiq.2020.11.002

Nieves de Uribe Viloria , María Iglesias Tejedor , María Queipo de Llano de la Viuda , Beatriz Mongil López , Mercedes Miguélez Vara , Soraya Geijo Uribe

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Abstract

Introduction

The prevalence of psychiatric disorders is higher in people with epilepsy than in the general population, especially affective disorders, anxiety, and psychosis.

Case report

A ten-year-old male with behavioural disorder and disorganization, admitted to the psychiatric ward for differential diagnosis. During his stay, he had an episode of vomiting followed by loss of consciousness. The EEG showed normal background activity with right-sided fronto-temporal dysfunction signs. The MRI featured loss of volume of the right hippocampal gyrus. Other diagnostic tests showed no alterations. Treatment with lacosamide was introduced. This was followed by clinical improvement, and a diagnosis of behavioural disorder due to mesial temporal sclerosis was established.

Discussion

Temporal epilepsy due to hippocampal sclerosis is one of the most common causes of secondary generalised seizures, and is associated with deficits in emotion processing and facial emotion recognition, semantic and episodic memory, and executive and visual-motor dysfunction.

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儿童精神病理学与癫痫的关系:以中颞叶硬化症为例

癫痫患者的精神疾病患病率高于一般人群，尤其是情感性障碍、焦虑和精神病。病例报告:一名十岁男性，患有行为障碍和精神紊乱，因鉴别诊断入院。住院期间，他有一次呕吐，随后失去知觉。脑电图显示背景活动正常，右侧额颞功能障碍征象。MRI表现为右侧海马回体积减少。其他诊断测试未显示任何改变。介绍了拉科沙胺治疗。这是随后的临床改善，并诊断为行为障碍，由于内侧颞叶硬化是建立。海马硬化引起的颞叶癫痫是继发性全身性癫痫发作的最常见原因之一，并与情绪处理和面部情绪识别缺陷、语义和情景记忆以及执行和视觉运动功能障碍有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psiquiatria Biologica Medicine-Psychiatry and Mental Health

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Es la Publicación Oficial de la Sociedad Española de Psiquiatría Biológica. Los recientes avances en el conocimiento de la bioquímica y de la fisiología cerebrales y el progreso en general en el campo de las neurociencias han abierto el camino al desarrollo de la psiquiatría biológica, fundada sobre bases anatomofisiológicas, más sólidas y científicas que la psiquiatría tradicional.