Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-23T13:31:15.378Z Has data issue: false hasContentIssue false

A liaison psychiatry experience of epilepsy

Published online by Cambridge University Press:  13 June 2014

Alan P Byrne*
Affiliation:
Department of Psychiatry, 1E7.31 Walter Mackenzie Centre, University of Alberta, Edmonton, Alberta T6G 2B7, Canada

Abstract

Of three hundred and sixty-one cases seen in a liaison psychiatry service over a twelve-month period, fifteen cases presented with psychiatric symptoms related to epileptic activity, or the treatment thereof. Seven new cases of epilepsy were diagnosed on the basis of primarily psychiatric phenomenology. The fact that twenty-five per cent of patients with epilepsy seen during this period had been incorrectly diagnosed gives cause for concern, and examination of the factors which caused diagnostic difficulty in these cases reveals details of interest to practising clinicians.

Type
Clinical and Brief Reports
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Jackson, JH. On temporary mental disorders after epileptic paroxysms. West Riding Lunatic Asylum Medical Reports 1875; 5: 105–29.Google Scholar
2.Kraepelin, E. Psychiatrie (8th ed). Leipzig: Barth; 1910.Google Scholar
3.Giese, H. Uber klinische beziehungen zwischen epilepsic und schizophrenie (Epilepsie als fruhsymptom order als kombination). Z Neurologie Psychiatrie 1914; 26: 22112.CrossRefGoogle Scholar
4.Slater, E, Beard, AW, Glithero, E. The schizophrenia-like psychoses of epilepsy. Br J Psychiatry 1963; 109: 95105.CrossRefGoogle Scholar
5.Flor-Henry, P. Psychosis and temporal lobe epilepsy - a controlled investigation. Epilepsia 1969; 10: 363–95.CrossRefGoogle ScholarPubMed
6.Greene, VT. Temporal lobe epilepsy and the clinical psychiatrist. J Ir Med Assoc 1976; 69(4): 90–6.Google Scholar
7.Rutter, M, Graham, PJ, Yule, W. A neuropsychiatric study in childhood. In: Clinics in Developmental Medicine. London: Heineman: 1970.Google Scholar
8.Gunn, J, Fenton, GW. Epilepsy, automatism and crime. Lancet 1971; i: 1173–6.CrossRefGoogle Scholar
9.Davinski, O, Bear, DM. Varieties of aggressive behaviour in patients with temporal lobe epilepsy. Am J Psychiatry 1984; 141: 651–6.Google Scholar
10.Delgado-Esculeta, A, Mattson, R, King, L. The nature of aggression during epileptic seizures. New Engl J Med 1981; 289: 451–5.Google Scholar
11.Kligman, D, Goldberg, DA. Temporal lobe epilepsy and aggression. J Nerv Ment Dis 1975; 160: 324–41.CrossRefGoogle ScholarPubMed
12.Lewis, DO, Pincus, JH, Shanok, SS, Glaser, GH. Psychomotor epilepsy and violence in a group of incarcerated adolescent boys. Am J Psychiatry 1982; 139: 882–7.Google Scholar
13.Commission on classification and terminology of the international league against epilepsy. Proposal for revised clinical and electroencephalographic classification of epileptic seizures. Epilepsia 1981; 22: 489501.CrossRefGoogle Scholar
14.Stevenson, JM, King, JH. Neuropsychiatric aspects of epilepsy and epileptic seizures. In: Hales, RE and Yudofsky, SC, editors. A Textbook of Neuropsychiatry. Washington DC: American Psychiatric Press, 1987.Google Scholar
15.Adams, RD. The convulsive state and idiopathic epilepsy. In: Thorn, GN, Adams, RD, et al, editors. Harrison's Principles of Internal Medicine. 9th ed. Koya Kusha: McGraw Hill, 1980.Google Scholar
16.Singer, AF, Goldstein, R. The ease with which epileptic seizures avoid diagnosis. Am J Psychiatry 1986; 143: 552–3.Google Scholar
17.Klein, E, Bental, E, Leker, B, Belmaker, RH. Carbamazepine and haloperidol vs. placebo and haloperidol in excited psychoses. Arch Gen Psychiatry 1984; 41: 165–70.CrossRefGoogle Scholar
18.Kidron, R, Auerbach, I, Klein, B, Belmaker, RH. Carbamazepine induced reduction of blood levels of haloperidol in chronic schizophrenia. Biological Psychiatry 1985; 20: 219–22.CrossRefGoogle ScholarPubMed
19.Byrne, A. Hypomania following increased epileptic activity. Br J Psychiatry 1988; 153: 573–4.CrossRefGoogle ScholarPubMed
20.Adamek, RE, Stark-Adamek, C. Limbic kindling and animal behaviour: implications for human psychopathology associated with complex partial seizures. Biological Psychiatry 1983; 18: 269–93.Google Scholar
21.Yatham, LM, McHale, PA. Carbamazepine and the treatment of aggression: a case report and a review of the literature. Acta Psychiatr Scand 1988; 08 2: 188–90.CrossRefGoogle Scholar
22.King, MD, Day, RE, Oliver, RS. Solvent encephalopathy. MBJ 1981; 283: 663–5.CrossRefGoogle ScholarPubMed
23.McAllister, C, Lush, M, Oliver, RS. Status epilepticus caused by solvent abuse. BMJ 1981; 283: 1156.CrossRefGoogle Scholar
24.Eyman, RK, Capes, L, Moore, BC, Zachofsky, T. Retardates with seizures. Am J Ment Def 1969; 74: 651–9.Google Scholar
25.Binnie, CD. What's the use of E.E.G. in epilepsy? Br J Hosp Med 1988; 39(2): 99.Google Scholar
26.Sutherling, WW, Levesque, MF, Brandall, PH, Barth, DS. Localisation of partial epilepsy using magnetic and electric measurements. Epilepsia 1991; 32 Supple 5: 529–40.Google ScholarPubMed
27.Sutherling, WW. Identifying and referring patients for surgery. Journal of Clinical Therapeutics 1985; 7: 266–71.Google ScholarPubMed
28.Engel, J, Crandall, PH, Rausch, R, Rosenberg, RN, Grassman, RG, editors. The partial epilepsies. In: The Clinical Neurosciences. New York: Churchill Livingstones; 1983: 1349–80.Google Scholar
29.McClelland, RC. Psychiatric aspects of epilepsy. Current Opinion in Psychiatry 1991; 4: 127–30.CrossRefGoogle Scholar