Mental disorders caused by epilepsy refer to a group of recurrent Mental disorders caused by abnormal brain discharges

genetic factors

brain lesions

psychosocial factors

Manifestations of mental disorders during attacks

Mental disorders before and after attacks

interictal mental disorder

First, a clear diagnosis of epilepsy must be made. Psychiatric disorders arise on the basis of a diagnosis of epilepsy, the occurrence of which is related to epilepsy. When diagnosing, attention should be paid to clarify the relationship between mental symptoms and epileptic seizures, and to determine whether the mental symptoms appear during the seizure, before and after the seizure, or during the inter-ictal period.

Hysterical mental disorders Both hysterical and epileptic mental disorders may cause sleepwalking, fugue, and hazy state of consciousness. However, hysterical mental disorders generally have obvious mental stimulation factors before the onset, and the degree of consciousness disorder is mild during the onset.

Schizophrenia, catatonic and epileptic catatonic states, schizophrenia, paranoid and chronic schizophreniform epileptic disorders

Patients with affective mental disorders and epilepsy may experience episodic, short-lasting anxiety, fear, disappointment, despair, melancholy or joy, and may also present with periodic dysthymia. The above manifestations need to be differentiated from affective mental disorders.

Narcolepsy can cause loss of consciousness and cataplexy, and can easily be misdiagnosed as epilepsy. It can be differentiated by the tetrad of sudden onset of uncontrollable sleep, sleep paralysis, hypnagogic hallucinations and cataplexy.

Syncope is a short-term overall decrease in cerebral blood flow, instantaneous loss of consciousness and falls caused by ischemia and hypoxia. should be identified

Hypoglycemia: When the blood sugar level is lower than 2mmol/L, local epileptic twitching or tonic seizures of the limbs may occur, accompanied by loss of consciousness.

Mental disorders before and after attacks

interictal mental disorders

Patients with intellectual disabilities and personality changes