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The Role of Stimulation Techniques

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Neuropsychiatric Symptoms of Epilepsy

Part of the book series: Neuropsychiatric Symptoms of Neurological Disease ((NSND))

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Abstract

Neuropsychiatric symptoms are common, under-recognized, and undertreated in patients with epilepsy (PWE), and have a profound impact on quality of life. Effective, safe, and well-tolerated treatments are urgently needed for patients whose neuropsychiatric symptoms do not respond to pharmacological or behavioral therapies. Some of the brain stimulation modalities that are effective for seizure control in patients with drug-resistant epilepsy may also be effective for neuropsychiatric symptoms of comorbid psychiatric disorders. This chapter first provides an overview of comorbid psychiatric disorders that have shown symptomatic improvement in brain stimulation studies. Next, the effects of different stimulation techniques on symptoms of these psychiatric disorders in PWE as well as in patients without epilepsy are reviewed. Limitations of our current understanding are then outlined with suggested directions for future research. The role of stimulation techniques in the care of PWE is only beginning to be understood and their potential application to the amelioration of neuropsychiatric symptoms in PWE should be actively pursued.

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Authors and Affiliations

  1. Departments of Neurology, Consortia for Improving Medicine with Innovation and Technology, Beth Israel Deaconess Medical Center, Massachusetts General Hospital, Harvard Medical School, 125 Nashua Street, Boston, MA, 02114, USA

    Steven C. Schachter MD

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  1. Steven C. Schachter MD
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Correspondence to Steven C. Schachter MD .

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  1. Atkinson Morley Regional Neuroscience Centre, Epilepsy Group, St George’s University Hospitals NHS Foundation Trust, London, United Kingdom

    Marco Mula

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Schachter, S.C. (2016). The Role of Stimulation Techniques. In: Mula, M. (eds) Neuropsychiatric Symptoms of Epilepsy. Neuropsychiatric Symptoms of Neurological Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-22159-5_19

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  • DOI: https://doi.org/10.1007/978-3-319-22159-5_19

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