Peri-Ictal and Para-Ictal Psychiatric Phenomena: A Relatively Common Yet Unrecognized Disorder

Research output: Chapter in Book/Report/Conference proceedingChapter

5 Scopus citations

Abstract

Patients with epilepsy can experience different neuropsychiatric symptoms related (peri-ictal) or not (interictal) with seizures. Peri-ictal symptoms can precede (pre-ictal) or follow (post-ictal) the seizure, or even be the expression of the seizure activity (ictal). Neuropsychiatric symptoms, such as irritability and apathy, are among the most frequent pre-ictal manifestations. Ictal fear is reported by around 10% of patients with focal seizures, and sometimes can be difficult to differentiate from panic attacks. Post-ictal anxiety, mood and psychotic symptoms are also frequently reported by patients. Peri-ictal phenomena can occur as isolated symptom or as a cluster of symptoms, sometimes resembling a full-blown psychiatric syndrome. Actually, peri-ictal and interictal neuropsychiatric manifestations seem to be closely associated.

Original languageEnglish (US)
Title of host publicationCurrent Topics in Behavioral Neurosciences
PublisherSpringer Science and Business Media Deutschland GmbH
Pages171-181
Number of pages11
DOIs
StatePublished - 2022
Externally publishedYes

Publication series

NameCurrent Topics in Behavioral Neurosciences
Volume55
ISSN (Print)1866-3370
ISSN (Electronic)1866-3389

Keywords

  • Anti-depressants
  • Anti-psychotics
  • Apathy
  • Dysphoric symptoms
  • Forced normalization
  • Ictal fear
  • Ictal symptoms
  • Interictal symptoms
  • Irritability
  • Para-ictal symptoms
  • Peri-ictal symptoms
  • Post-ictal anxiety
  • Post-ictal depression
  • Post-ictal psychoses
  • Post-ictal symptoms
  • Pre-ictal symptoms

ASJC Scopus subject areas

  • Behavioral Neuroscience

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