Psychopathology in medically refractory partial seizures (Fren)

Today, psychopathology in medically refractory partial seizures is well known . Descriptive (syndromic) classifications of both epileptic syndromes and psychi atric disturbances associated with prospective psychiatric status evaluations in resective epilepsy surgery centers in order to prevent poor post surgical outco me have increased our knowledge of the mental status of these patients. Three ma jor categories of psychiatric comorbidities are observed. 1. Specific post ictal syndromes related to seizures (post ictal psychoses and post ictal depressive d isorders). 2. Interictal psychiatric disorders: depression appears to be the mos t prevalent psychiatric condition in medically refractory seizures followed by a nxiety and psychotic states. 3. Psychiatric adverse events of antiepileptic drugs according to the numerous new available drugs. There are no published guidelines. We are challenged both as clinicians and as an academic community. We need to improve identification, b etter utilize existing therapies and promote the development of prospective tria ls devoted to the study of psychiatric status in presurgical evaluation. A psych iatrist must be included in presurgical teams.