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Psychische Störungen bei Epilepsie

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Psychiatrie in der klinischen Medizin

Zusammenfassung

Zu den gefürchteten Komplikationen der Epilepsien zählen nicht nur Verletzungen im Anfall, sondern auch psychiatrische Erkrankungen. Es gibt viele — biologische und psychologische — Gründe, die bei einem Menschen mit einer Epilepsie zu der Entwicklung einer psychischen Störung beitragen können. Zu den potenziellen Risikofaktoren gehören die epileptische Anfallsaktivität, die zugrunde liegende Hirnerkrankung, antiepileptische Behandlungsmanöver und eine genetische Prädisposition für psychiatrische Störungen. Bei Epilepsiepatienten kommt das gesamte Spektrum psychiatrischer Störungen vor. Die klinisch besonders relevanten Komplikationen Depressionen und Psychosen, Suizidalität und das Phänomen der forcierten Normalisierung sollen im Folgenden ausführlich besprochen werden.

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  1. B. Schmitz
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  1. Klinik u. Poliklinik f. Psychiatrie u. Psychotherapie, Westfälische Wilhelms-Universität Münster, Albert-Schweitzer-Str. 11, 48129, Münster, Deutschland

    Volker Arolt

  2. Abteilung Psychiatrie und Psychotherapie, Ev. Krankenhaus Königin Elisabeth Herzberge, Herzbergstraße 79, 10362, Berlin, Deutschland

    Albert Diefenbacher

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Schmitz, B. (2004). Psychische Störungen bei Epilepsie. In: Arolt, V., Diefenbacher, A. (eds) Psychiatrie in der klinischen Medizin. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-12845-9_28

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