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A liaison psychiatry experience of epilepsy

  • Alan P Byrne (a1)


Of three hundred and sixty-one cases seen in a liaison psychiatry service over a twelve-month period, fifteen cases presented with psychiatric symptoms related to epileptic activity, or the treatment thereof. Seven new cases of epilepsy were diagnosed on the basis of primarily psychiatric phenomenology. The fact that twenty-five per cent of patients with epilepsy seen during this period had been incorrectly diagnosed gives cause for concern, and examination of the factors which caused diagnostic difficulty in these cases reveals details of interest to practising clinicians.



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1.Jackson, JH. On temporary mental disorders after epileptic paroxysms. West Riding Lunatic Asylum Medical Reports 1875; 5: 105–29.
2.Kraepelin, E. Psychiatrie (8th ed). Leipzig: Barth; 1910.
3.Giese, H. Uber klinische beziehungen zwischen epilepsic und schizophrenie (Epilepsie als fruhsymptom order als kombination). Z Neurologie Psychiatrie 1914; 26: 22112.
4.Slater, E, Beard, AW, Glithero, E. The schizophrenia-like psychoses of epilepsy. Br J Psychiatry 1963; 109: 95105.
5.Flor-Henry, P. Psychosis and temporal lobe epilepsy - a controlled investigation. Epilepsia 1969; 10: 363–95.
6.Greene, VT. Temporal lobe epilepsy and the clinical psychiatrist. J Ir Med Assoc 1976; 69(4): 90–6.
7.Rutter, M, Graham, PJ, Yule, W. A neuropsychiatric study in childhood. In: Clinics in Developmental Medicine. London: Heineman: 1970.
8.Gunn, J, Fenton, GW. Epilepsy, automatism and crime. Lancet 1971; i: 1173–6.
9.Davinski, O, Bear, DM. Varieties of aggressive behaviour in patients with temporal lobe epilepsy. Am J Psychiatry 1984; 141: 651–6.
10.Delgado-Esculeta, A, Mattson, R, King, L. The nature of aggression during epileptic seizures. New Engl J Med 1981; 289: 451–5.
11.Kligman, D, Goldberg, DA. Temporal lobe epilepsy and aggression. J Nerv Ment Dis 1975; 160: 324–41.
12.Lewis, DO, Pincus, JH, Shanok, SS, Glaser, GH. Psychomotor epilepsy and violence in a group of incarcerated adolescent boys. Am J Psychiatry 1982; 139: 882–7.
13.Commission on classification and terminology of the international league against epilepsy. Proposal for revised clinical and electroencephalographic classification of epileptic seizures. Epilepsia 1981; 22: 489501.
14.Stevenson, JM, King, JH. Neuropsychiatric aspects of epilepsy and epileptic seizures. In: Hales, RE and Yudofsky, SC, editors. A Textbook of Neuropsychiatry. Washington DC: American Psychiatric Press, 1987.
15.Adams, RD. The convulsive state and idiopathic epilepsy. In: Thorn, GN, Adams, RD, et al, editors. Harrison's Principles of Internal Medicine. 9th ed. Koya Kusha: McGraw Hill, 1980.
16.Singer, AF, Goldstein, R. The ease with which epileptic seizures avoid diagnosis. Am J Psychiatry 1986; 143: 552–3.
17.Klein, E, Bental, E, Leker, B, Belmaker, RH. Carbamazepine and haloperidol vs. placebo and haloperidol in excited psychoses. Arch Gen Psychiatry 1984; 41: 165–70.
18.Kidron, R, Auerbach, I, Klein, B, Belmaker, RH. Carbamazepine induced reduction of blood levels of haloperidol in chronic schizophrenia. Biological Psychiatry 1985; 20: 219–22.
19.Byrne, A. Hypomania following increased epileptic activity. Br J Psychiatry 1988; 153: 573–4.
20.Adamek, RE, Stark-Adamek, C. Limbic kindling and animal behaviour: implications for human psychopathology associated with complex partial seizures. Biological Psychiatry 1983; 18: 269–93.
21.Yatham, LM, McHale, PA. Carbamazepine and the treatment of aggression: a case report and a review of the literature. Acta Psychiatr Scand 1988; 08 2: 188–90.
22.King, MD, Day, RE, Oliver, RS. Solvent encephalopathy. MBJ 1981; 283: 663–5.
23.McAllister, C, Lush, M, Oliver, RS. Status epilepticus caused by solvent abuse. BMJ 1981; 283: 1156.
24.Eyman, RK, Capes, L, Moore, BC, Zachofsky, T. Retardates with seizures. Am J Ment Def 1969; 74: 651–9.
25.Binnie, CD. What's the use of E.E.G. in epilepsy? Br J Hosp Med 1988; 39(2): 99.
26.Sutherling, WW, Levesque, MF, Brandall, PH, Barth, DS. Localisation of partial epilepsy using magnetic and electric measurements. Epilepsia 1991; 32 Supple 5: 529–40.
27.Sutherling, WW. Identifying and referring patients for surgery. Journal of Clinical Therapeutics 1985; 7: 266–71.
28.Engel, J, Crandall, PH, Rausch, R, Rosenberg, RN, Grassman, RG, editors. The partial epilepsies. In: The Clinical Neurosciences. New York: Churchill Livingstones; 1983: 1349–80.
29.McClelland, RC. Psychiatric aspects of epilepsy. Current Opinion in Psychiatry 1991; 4: 127–30.
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Irish Journal of Psychological Medicine
  • ISSN: 0790-9667
  • EISSN: 2051-6967
  • URL: /core/journals/irish-journal-of-psychological-medicine
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