John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the International League Against Epilepsy

Long-lasting seizure-related anxiety in patients with temporal lobe epilepsy and comorbid psychiatric disorders Volume 17, numéro 3, September 2015

Vidéo

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

Illustrations

  • Figure 1

Tableaux

Auteurs
* Correspondence: Sylvain Rheims Department of Functional Neurology and Epileptology, 59 boulevard Pinel, 69577 Bron, France
  • Mots-clés : mesial status, ictal anxiety, panic attack, psychiatric seizure, temporal lobe epilepsy
  • DOI : 10.1684/epd.2015.0757
  • Page(s) : 340-4
  • Année de parution : 2015

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 [18F] 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]