Conference paper
OVERLAPPING PHENOMENA OF BIPOLAR DISORDER AND EPILEPSY - A COMMON PHARMACOLOGICAL PATHWAY
Mariusz S. Wiglusz
; Department of Psychiatry, Medical University of Gdańsk, Gdańsk, Poland
Jerzy Landowski
; Department of Psychiatry, Medical University of Gdańsk, Gdańsk, Poland
Wiesław J. Cubała
; Department of Psychiatry, Medical University of Gdańsk, Gdańsk, Poland
Mark Agius
; Clare College Cambridge, Department of Psychiatry, University of Cambridge, Cambridge, UK
Abstract
Background: Studies and data on prevalence, recognition and clinical features of bipolar disorder (BD) in epilepsy remain
limited. Still, there is a growing evidence of BD and epilepsy being frequent co-morbid conditions with some features suggesting
shared pathophysiological mechanisms that include the episodic course of both conditions, the possible kindling mechanism and the
efficacy of some antiepileptic drugs (AEDs) in BD.
Subjects and methods: The aim of this paper is to review concepts of overlapping phenomena of bipolar disorder and epilepsy. A
literature review of the theoretical bases of the relationship between BD and epilepsy is presented.
Conclusions: The comorbidity of epilepsy and mood disorders was a subject of interest of many studies for decades. Bipolar disorder
and epilepsy have a number of clinical, biochemical and pathophysiological features in common. Bipolar disorder in epilepsy,
excluding the ictal or periictal symptoms, can be categorized using standardized measures. Standardized psychiatric interview procedures
based on DSM criteria like SCID-I or MINI provide comprehensive way to diagnose mood disorders in patients with epilepsy.
Keywords
bipolar disorder; mania; depression; epilepsy; antiepileptic drugs; DSM-IV-TR
Hrčak ID:
264482
URI
Publication date:
8.9.2015.
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