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Epilepsy and Seizures: Overview01:24

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Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
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Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
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The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
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Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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Related Experiment Video

Updated: Feb 16, 2026

Electrophoretic Delivery of γ-aminobutyric Acid GABA into Epileptic Focus Prevents Seizures in Mice
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Epilepsy and psychosis: a practical approach.

Melissa Maguire1, Jasvinder Singh2, Anthony Marson3,4

  • 1Department of Neurology, Leeds General Infirmary, Leeds, UK.

Practical Neurology
|December 24, 2017
PubMed
Summary

Psychoses of epilepsy, particularly interictal psychosis, are common and challenging to manage. This study offers a stepwise approach for diagnosis and treatment, considering medication risks for psychosis and seizures.

Keywords:
epilepsypsychosis

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Area of Science:

  • Neurology
  • Psychiatry
  • Clinical Neuroscience

Background:

  • Psychoses associated with epilepsy are categorized by their timing relative to seizures: ictal, postictal, and interictal.
  • Interictal psychosis, the most frequent type, often presents with symptoms similar to schizophrenia.
  • Management is complicated by potential drug interactions, where antipsychotics may worsen seizures and antiepileptics may exacerbate psychosis.

Purpose of the Study:

  • To propose a practical, stepwise management strategy for psychosis in epilepsy patients.
  • To provide a diagnostic and management framework for both acute and long-term care.
  • To review evidence on the risks of antiepileptic drugs (AEDs) and antipsychotic (AP) medications.

Main Methods:

  • Literature review and synthesis of current evidence.
  • Development of a clinical framework for diagnosis and treatment.
  • Analysis of drug-induced risks for psychosis and seizures.

Main Results:

  • Interictal psychosis is the most common form and can mimic schizophrenia.
  • A stepwise approach is proposed to address diagnostic and therapeutic challenges.
  • Evidence regarding AEDs and APs' impact on seizures and psychosis is summarized.

Conclusions:

  • A structured approach is needed to improve care for epilepsy patients with psychosis.
  • Understanding medication risks is crucial for safe and effective management.
  • Further research may clarify optimal treatment strategies for this complex patient group.