Аффективные расстройства у пациентов с эпилепсией: первичный процесс или следствие пароксизмальной активности?

Высокая распространенность первичных аффективных расстройств у пациентов с эпилепсией не вызывает сомнений. Однако среди этой группы лиц зачастую выявляются пациенты, которые страдают аффективными нарушениями, не соответствующими критериям первичных аффективных расстройств, таких как рекуррентное депрессивное расстройство и биполярное аффективное расстройство. Целью данной работы является изучение вопросов систематики и клиники аффективных расстройств у пациентов с эпилепсией, а также дифференциально-диагностических подходов к выявлению первичных аффективных расстройств и вторичных аффективных нарушений при эпилепсии. Представлен набор диагностических признаков для дифференцированной оценки аффективных расстройств у пациентов с эпилепсией. Необходимы дальнейшие исследования аффективной патологии у пациентов с эпилепсией и разработка стратегий для их успешного лечения.

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