RESUMO
Psychiatric manifestations in epilepsy allow us to explore the relationship between brain and behaviour, brain and the mind and brain and personality. This article reviews the available literature taking mania in the context of epilepsy to better understand the mechanisms that underlie this sindromatic expression and to serve as a starting point to improve our comprehension of our patients' clinical presentations. Additionally, mood as a cardinal symptom of mania is questioned as its epidemiology, clinical presentation, neurobiology and anatomoclinic findings are reviewed.
Assuntos
Transtorno Bipolar/etiologia , Epilepsia/complicações , Transtorno Bipolar/fisiopatologia , Epilepsia/fisiopatologia , HumanosRESUMO
Non-convulsive status epilepticus (NCSE) is a clinical condition characterized by continuous or intermittent state of epileptic activity without restitution, prolonged for more than thirty minutes. The main difference with convulsive status epilepticus (CSE) , is the absence of predominant motor activity. By reviewing the most recent literature, we intend to describe different aspects of NCSE: clinical presentation, classification, diagnostic criteria, differential diagnosis, imaging studies, and treatment. We emphasized the aspects most related to Psychiatry, without living aside characteristics encompassing its neurological aspects. The broad spectrum of clinical presentations, the rare knowledge about this entity , and the lack of clear diagnostic criteria are some of the difficulties to make the proper diagnosis. Because of its high morbidity and mortality, the aim of the present review is to highlight critical characteristics of NCSE, in order to take them into account during daily medical practice enabling an early and adequate treatment.