RESUMO
Objective. To search for clinical features of negative mental disorders in epilepsy. Material and methods. We studied 78 patients, aged from 18 to 40 years,, including 43 patients diagnosed with epilepsy for the first time (main group) and 35 patients with the previous diagnosis of epilepsy (comparison group). Diagnosis was made according to ICD-10. Results. We observed a broad spectrum of persistent mental disorders, including negative disorders. Personality disorders and cognitive deficit were most significant negative disorders. Personality disorders included two opposite types: explosive-epileptoid features with paranoiac signs and defensive disorder. Inertia, slow mobility, slowness of the rate of thought processes, the domination of egocentric, perseverative, visual-image thinking were characteristic of thought disorders. Conclusion. The authors suggest the systematic of these disorders.
RESUMO
Clinical peculiarities of interictal chronic epileptic psychoses were studied in 58 patients. The authors suggested a systematic of schizophrenia-like psychoses in epilepsy. Hallucinoses, paranoid, depressive, manic and catatonic psychotic states were described. The relationship between schizophrenia and epilepsy was discussed. It has been concluded that the character of personality changes plays a central role in the diagnostic of epileptic psychosis.
