Mental disorders in cerebral paroxysms of epileptic origin

A typical clinical sign of epilepsy are specific changes in the psyche. The formation of changes in the nature of patients with epilepsy is due to a personal response to the attitude of others, awareness of their illness and related mental defects, premorbid characterological features before the manifestation of epilepsy. The manifestations of epileptic disease include episodic psychoses with impaired consciousness and psychomotor agitation. We conducted an analysis of mental disorders in paroxysmal conditions of various origins, performed on a sample of 1,039 patients. It was revealed that paroxysmal conditions can be as primary, due to the psychopathological process itself; and secondary, associated with the influence of negative environmental factors, primarily with psychogenic effects, as well as with side effects of drugs and with complications caused by surgical treatment. Diagnosed mental disorders in the examined patients had a clear paroxysmal outline, different in clinical filling and temporal characteristics. Moreover, the severity of the disorder was dependent on the duration of the disease, the presentation of neurological symptoms and the focal lesion on MRI, the severity of comorbid psychopathological symptoms, and the adequacy of personalized rehabilitation programs.