Citation

Ure JA, Shliapochnik J, Folcini R. Revista Neurologica Argentina 2002; 27(4): 261-266.

Copyright

(Copyright © 2002)

DOI

unavailable

PMID

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Abstract

We often can find Depression in epileptic patients. In fact Atypical Depression, neither major nor minor in DSM-IV terms, milder and more chronic than in Bipolar Disorders, dysthimic in nature in the Epilepsy patients. We need lesser amount of Antidepressive Drugs in order to improve the Depression, although epileptic patients did suicide four times more frequently than non-epileptic matched with them in terms of years suffering chronic invalidating disturbances. Depression used to happens interictally, but Gloor (1981, 1982) have studied ictally sad feelings through intracranial electrical stimulation recordings (ICES) with chronically implanted electrodes. Such feelings can appear also pre or post-ictally. Adverse reactions provoked by antiepileptic drugs and intrapersonal and interpersonal stigma can contribute to develop depressive reactions. Frequently but not always, is possible to localize spikes in TLE (temporal lobe epilepsy) patients with left-sided focus. In this article we discuss: 1) pharmacologic and non-pharmacologic treatments, 2) frontal lobe dysfunction in TLE patients with Depression and 3) post-surgical symptoms.

Language: es

Keywords

adult; amfebutamone; amitriptyline; anticonvulsive agent; antidepressant agent; atypical depression; bipolar disorder; brain surgery; carbamazepine; case report; chronic disease; citalopram; clomipramine; Depression; disease severity; Dysthimia; dysthymia; electrode; electrostimulation; emotion; felbamate; female; fluoxetine; frontal lobe; gabapentin; human; imipramine; IRSS; lamotrigine; male; neuropsychiatry; neuropsychology; paroxetine; phenobarbital; postoperative period; psychotherapy; recording; review; sertraline; side effect; spike; suicide; symptom; Temporal epilepsy; temporal lobe epilepsy; topiramate; trazodone; vigabatrin