Succesfully Treated Depression in a Patient with Epilepsy – a Case Report

Česká verzia

Authors: J. Vančíková; A. Bednářová
Authors place of work: II. psychiatrická klinika LF UPJŠ a UNLP, Košice
Published in the journal: Cesk Slov Neurol N 2015; 78/111(2): 229-232
Category: Case Report

Summary

Epilepsy is a chronic disease that is often accompanied by psychiatric comorbidity. The most frequent of them is depression accompanied by subsyndromic, chronic and atypical symptoms of depression. The incidence of depression in patients with epilepsy is higher than in other neurological or chronic diseases. Psychopathology associated with epilepsy often bothers the patient more than the disease itself. The aim of this work is to present and analyze a case report of a 37‑year‑ old man diagnosed with epilepsy and associated psychiatric symptomatology that reduced his quality of life much more than the neurological disease itself. In this case report, we describe clinical symptoms of neuropsychiatric disease – epilepsy as well as life events that are unique to each patient and have a significant impact on the course and treatment of epilepsy.

Key words:
epilepsy – anxiety – depression – personality changes

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

Zdroje

1. Peterson CL, Walker C, Shears G. The social context of anxiety and depression: exploring the role of anxiety and depression in the lives of Australian adults with epilepsy. Epilepsy Behav 2014; 34: 29– 33. doi: 10.1016/ j.yebeh.2014.03.005.

2. Blumer D. Postictal depression: significance for the treatment of neurobehavioral disorder of epilepsy. J Epilepsy 1992; 5(4): 214– 219.

3. Cummings JL, Trimble MR. Neuropsychiatry and Behavioral Neurology. 2nd ed. Washington, London: Americal Psychiatric Publishing Inc. 2002: 139– 148.

4. Hovorka J. Farmakologická léčka epilepsie. Cesk Slov Neurol N 2010; 73/ 106(4): 351– 373.

5. Herman E, Hovorka J, Praško J, Jokl I, Ivančo A, Syrovátka J. Deprese u somaticky nemocných. Praha: Maxdorf 2002: 72– 76.

6. Hovorka J, Herman E. Neuropsychiatrické aspekty u epilepsie. Ceska Slov Psychiatr 2001; 63: 1– 16.

7. Obereigneru K, Mareš J, Obereigneru R, Kaňovský P. Výskyt psychogénnych porúch v neurológii. Cesk Slov Neurol N 2010; 73/ 106(5): 529– 533.

8. Kanner AM. Depression in epilepsy: prevalence, clinical semiology, pathogenic mechanisms, and treatment. Biol Psychiatry 2003; 54(3): 388–398.

9. Kotašková J, Marusič P. Funkční význam pólu temporálního laloku. Cesk Slov Neurol N 2010; 73/ 106(4): 387– 391.

10. Moon J, Jung KH, Shin JW, Lim JA, Byun JI, Lee ST et al. Safety of tianeptine use in patients with epilepsy. Epilepsy Behav 2014; 34: 116– 119. doi: 10.1016/ j.yebeh.2014.03.021.

11. Kuba R. Komentář k práci Mařák R et al. Sexuální dysfunkce a jejich výskyt u pacientů s epilepsií. Cesk Slov Neurol N 2010; 73/ 106(3): 284.

12. Drimalova M, Dragašek J, Frank V. Psychické poruchy pri epilepsii. Psychiatria 2005; 12(1): 38– 40.

13. Harden CL, Goldstein MA. Mood disorder in patient with epilepsy: epidemiology and management. CNS Drugs 2002; 16(5): 291– 302.

14. Titlic M, Basic S, Hajnsek S, Lusic I. Comorbidity psychiatric disorders in epilepsy: a review of literature. Bratisl Lek Listy 2009; 110(2): 105– 109.

15. Blumer D. Postictal depression: significance for the treatment of neurobehavioral disorder of epilepsy. J Epilepsy 1992; 5(4): 214– 219.

16. Theodore WH, Spencer SS, Wiebe S, Langfitt JT, Amza A, Shafer PO et al. Epilepsy in North America. A report prepared under the auspices of the global campaign against epilepsy, the international bureau for epilepsy, the international league against epilepsy, and the World Health Organization [online]. Available on URL: http:/ / www.ilae.org/ Visitors/ chapters/ documents/ usa.pdf.

17. Faber J. Epilepsie – psychóza, stále nejasný vztah? Psychiatria pre prax 2002; 1: 15– 19.

18. Christensen J, Vestergaard M, Mortensen PB, Sidenius P, Agerbo E. Epilepsy and risk suicide: a population‑based case‑ control study. Lancet Neurol 2007; 6(8): 693– 698.

19. Catena‑ Dell‘Osso M, Caserta A, Baroni S, Nisita C, Marazziti D. The relationship between epilepsy and depression: an update. Curr Med Chem 2013; 20(23): 2861– 2867.

20. Hrubý R. Depresívna porucha pri epilepsii. Psychiatria‑ psychoterapia‑ psychosomatika 2010; 17(2): 103– 106.

21. Ticháčková A, Pidrman V. Epilepsie z pohledu psychiatra. Interní Med pro praxi 2005; 1: 34– 39.