Quand des manifestations psychiatriques dévoilent l’épilepsie temporale chez l’enfant

Q4 Medicine

Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2025-11-01 Epub Date: 2024-12-18 DOI:10.1016/j.neurenf.2024.11.007

A. Ben Hamouda , M.C. Gharbi , S. Bourgou , M. Daoud , K. Bouzghaïa Bagbag , M. Hamza , F. Charfi , A. Belhadj

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Abstract

Aim

This paper attempts to illustrate the semiology of temporal epilepsy in patients initially considered to be suffering from psychiatric disorders.

Methods

We report five clinical vignettes of patients referred to the Child and Adolescent Psychiatry Department of Mongi Slim Hospital (Tunisia) between 2017 and 2021 for psychiatric disorders, in whom the diagnosis of temporal epilepsy was retained.

Results

Four boys and one girl, aged three to eleven, were referred for paroxysmal neuropsychiatric features. Family history of epilepsy was noted in three patients. Two children had psychomotor and language delay. Symptomatology was dominated by cognitive and behavioral disorders. Electroencephalogram confirmed the diagnosis of temporal epilepsy by showing local paroxysmal abnormalities. Brain imaging had shown predominantly temporal abnormalities in two cases. The evolution, under antiepileptic treatment, was favorable in four patients.

Conclusion

The reported clinical vignettes underline the importance of discussing temporal lobe epilepsy when faced with paroxysmal and/or atypical psychiatric manifestations in children.

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当精神病学表现揭示儿童暂时性癫痫

目的探讨初步认为患有精神疾病的颞叶癫痫的符号学特征。方法：我们报告了2017年至2021年在突尼斯Mongi Slim医院儿童和青少年精神科转诊的5例精神障碍患者的临床资料，其中颞叶癫痫的诊断保留。结果4名男孩和1名女孩，年龄3至11岁，因阵发性神经精神特征被转诊。3例患者有癫痫家族史。两名儿童有精神运动和语言迟缓。症状以认知和行为障碍为主。脑电图显示局部阵发性异常，证实了颞叶癫痫的诊断。脑成像显示两例主要是颞叶异常。在抗癫痫治疗下，4例患者的进化是有利的。结论报告的临床小片段强调了在面对儿童发作性和/或非典型精神表现时讨论颞叶癫痫的重要性。

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

Neuropsychiatrie de l''Enfance et de l''Adolescence Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： Organ of the Société française de psychiatrie de enfant et de adolescent, Neuropsychiatrie de enfance et de adolescence tackles all fields of child-adolescent psychiatry and offers a link between field and clinical work. As a reference and training tool for students and practitioners, the journal publishes original papers in child psychiatry as well as book reviews and conference reports. Each issue also offers a calendar of the main events dealing with the speciality.