Chapter

Epilepsy

Brian Toone

in New Oxford Textbook of Psychiatry

Second edition

Published on behalf of Oxford University Press

Published in print February 2012 | ISBN: 9780199696758
Published online October 2012 | e-ISBN: 9780191743221 | DOI: http://dx.doi.org/10.1093/med/9780199696758.003.0139
Epilepsy

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An epileptic seizure has been defined as ‘a clinical manifestation presumed to result from an abnormal and excessive discharge of a set of neurones in the brain’. A diagnosis of epilepsy applies with the recurrence of two or more discrete and unprovoked seizures (febrile and neonatal seizures are excluded from this definition). Epilepsy is one of the more common neurological disorders. It carries with it a greater psychiatric morbidity than is to be found in other neurological disorders of comparable severity. Many of its manifestations resemble and may be confused with psychiatric phenomenology. It is often associated with learning difficulties; it may be a manifestation of acquired brain damage or disease; seizures may occur in the course of substance abuse or be caused by psychiatric treatment. For these and for many other reasons psychiatrists should be familiar with epilepsy, its manifold aetiologies, presentations, and treatment.

Chapter.  4257 words. 

Subjects: Psychiatry

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