Treatment of aggression in epilepsy

If aggression is a problem in the clinical management of patients with epilepsy the most important point is to establish a correct diagnosis Figure 7.5 . A careful neurological, psychiatric and medical history and examination should be performed to answer the following questions 1. Is there any medical condition that contributes to the aggressive behaviour such as endocrinological or immunologi-cal diseases Is there any medication that might contribute to the aggressive behaviour 2. What is the...

Epilepsy and dissociation

Although the differential diagnosis of ICD-10 and DSM-IV dissociative disorders explicitly requires the exclusion of symptoms with an identifiable neurological basis, many of the phenomena associated with epilepsy, particularly temporal lobe epilepsy, have been regarded as dissociative in nature Devinsky et al., 1989 Good, 1993 . Indeed, ICD-10 includes a specific category for dissociative disorders due to a general medical condition, which encompasses many of the symptoms exhibited by...