癫痫所致精神障碍的临床分析  

Clinical Analysis on Mental Disorders due to Epilepsy

作　　者：许振强[1] 

机构地区：[1]汕头大学精神卫生中心,广东汕头515041

出　　处：《中国医学创新》2013年第30期111-113,共3页Medical Innovation of China

摘　　要：目的:探讨癫痫所致精神障碍的临床特征,以提高对该类疾病的认识及诊疗水平。方法:回顾性分析诊断为癫痫性精神障碍的患者共80例,对所有患者一般资料、临床表现类型、脑电图及脑CT结果、精神障碍分型及治疗方案进行总结。结果:单纯部分性发作47例(58.75%),脑电图异常者71例(88.75%),CT扫描结果异常者55例(68.75%),癫痫性精神病47例(58.75%)。按疗程治疗结束后出院结果评定痊愈者43例(53.75%),好转者17例(21.25%),进步者16例(20%),无效者4例(5%)。结论:癫痫所致精神障碍患者易误诊为精神分裂症,可通过病程、家族史、脑电图及脑CT检查等进行鉴别诊断,并给予合理用药,可达到满意效果。Objective： To explore the clinical features of epilepsy mental disorders and to improve the awareness and diagnosis and treatment of this disease. Method： 80 patients who were diagnosis of epilepsy mental disorders were retrospectively analyzed. We summarized the basic information, the clinical features, the electroencephalogram and the brain CT of all patients. Result： There were 47 cases （ 58.75% ） with simple partial seizures, 71 patients （ 88.75% ） with abnormal EEG, 55 patiems （ 68.75% ） with abnormal brain CT scan results, 47 patients （ 58.75% ） with epileptic psychosis. After the course of treatment, 43 patients（ 53.75% ） were cured, 17 patients（ 21.25% ） were improved, 16 patients （ 20.00% ） were advanced, 4 patients（ 5.00% ） were invalid. Conclusion： Epilepsy induced mental disorders is often misdiagnosed as schizophrenia, we could differential diagnosis through the course of the disease, family history, EEG and brain CT examination, and the patients can achieve satisfactory results by given the rational use of medicines.

关 键 词：癫痫 精神障碍 精神病学 

分 类 号：R742.1[医药卫生—神经病学与精神病学]