- Last edited on April 30, 2020
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===== Diagnostic Criteria ===== | ===== Diagnostic Criteria ===== | ||
- | <callout type="success">{{fa>arrow-circle-right?color=green}} See main article: **[[neurology:approach-seizures]]**</callout> | + | <alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success"> |
- | A pratical definition of epilepsy is if the patient meets one of the following:[([[https://www.ncbi.nlm.nih.gov/pubmed/24730690|Fisher, R. S., Acevedo, C., Arzimanoglou, A., Bogacz, A., Cross, J. H., Elger, C. E., ... & Hesdorffer, D. C. (2014). ILAE official report: a practical clinical definition of epilepsy. Epilepsia, 55(4), 475-482.]])] | + | See main article: **[[neurology:approach-seizures]]** |
+ | </alert> | ||
+ | A practical definition of epilepsy is if the patient meets one of the following:[([[https://www.ncbi.nlm.nih.gov/pubmed/24730690|Fisher, R. S., Acevedo, C., Arzimanoglou, A., Bogacz, A., Cross, J. H., Elger, C. E., ... & Hesdorffer, D. C. (2014). ILAE official report: a practical clinical definition of epilepsy. Epilepsia, 55(4), 475-482.]])] | ||
- At least two unprovoked (or reflex) seizures occurring greater than 24 hours apart | - At least two unprovoked (or reflex) seizures occurring greater than 24 hours apart | ||
- One unprovoked (or reflex) seizure and a probability of further seizures similar to the general recurrence risk (at least 60%) after two unprovoked seizures, occurring over the next 10 years | - One unprovoked (or reflex) seizure and a probability of further seizures similar to the general recurrence risk (at least 60%) after two unprovoked seizures, occurring over the next 10 years | ||
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* [[https://www.ncbi.nlm.nih.gov/pubmed/20708951|de Oliveira, G. N. M., Kummer, A., Salgado, J. V., Portela, E. J., Sousa-Pereira, S. R., David, A. S., & Teixeira, A. L. (2010). Psychiatric disorders in temporal lobe epilepsy: an overview from a tertiary service in Brazil. Seizure, 19(8), 479-484.]] | * [[https://www.ncbi.nlm.nih.gov/pubmed/20708951|de Oliveira, G. N. M., Kummer, A., Salgado, J. V., Portela, E. J., Sousa-Pereira, S. R., David, A. S., & Teixeira, A. L. (2010). Psychiatric disorders in temporal lobe epilepsy: an overview from a tertiary service in Brazil. Seizure, 19(8), 479-484.]] | ||
+ | Epigastric or visceral aura is by far the commonest symptom of medial temporal lobe seizures.[([[https://www.ncbi.nlm.nih.gov/books/NBK2605/|Panayiotopoulos CP. The Epilepsies: Seizures, Syndromes and Management. Oxfordshire (UK): Bladon Medical Publishing; 2005. Chapter 12, Symptomatic and Probably Symptomatic Focal Epilepsies: Topographical Symptomatology and Classification. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2605/]])] | ||
+ | |||
+ | ===== Psychiatric Symptoms ===== | ||
+ | * [[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5498258/|Berg, A. T., Altalib, H. H., & Devinsky, O. (2017). Psychiatric and behavioral comorbidities in epilepsy: a critical reappraisal. Epilepsia, 58(7), 1123-1130.]] | ||
+ | * [[https://onlinelibrary.wiley.com/doi/abs/10.1002/9781118936979.ch19|Elliott, B., Amarouche, M., & Shorvon, S. D. (2009). Psychiatric features of epilepsy and their management. The treatment of epilepsy,, 273-287.]] | ||
===== Resources ===== | ===== Resources ===== | ||
* [[http://www.psychiatrictimes.com/schizophrenia/complex-partial-seizures-present-diagnostic-challenge|Restak, R. (1995). Complex partial seizures present diagnostic challenge. Psych. Times, 12(9), 1-6.]] | * [[http://www.psychiatrictimes.com/schizophrenia/complex-partial-seizures-present-diagnostic-challenge|Restak, R. (1995). Complex partial seizures present diagnostic challenge. Psych. Times, 12(9), 1-6.]] | ||
* [[https://jnnp.bmj.com/content/69/1/1|Toone, B. K. (2000). The psychoses of epilepsy.]] | * [[https://jnnp.bmj.com/content/69/1/1|Toone, B. K. (2000). The psychoses of epilepsy.]] |