Clinical and pathogenetic prediction of the dynamics of the course of psychoses in epilepsy
Transient epileptic psychoses in 30-40% of cases turn into psychotic states with a long, paroxysmal or chronic course. The objective of this article is to conduct a systematic analysis of modern literature sources to clarify the factors, clinical and pathogenetic patterns of transformation of transi...
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| Format: | Article |
| Language: | English |
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Dnipro State Medical University
2022-09-01
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| Series: | Medičnì Perspektivi |
| Subjects: | |
| Online Access: | http://journals.uran.ua/index.php/2307-0404/article/view/265945 |
| _version_ | 1797989756004466688 |
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| author | S.G. Nosov L.М. Yuryeva T.Y. Shusterman O.V. Nekrasova |
| author_facet | S.G. Nosov L.М. Yuryeva T.Y. Shusterman O.V. Nekrasova |
| author_sort | S.G. Nosov |
| collection | DOAJ |
| description | Transient epileptic psychoses in 30-40% of cases turn into psychotic states with a long, paroxysmal or chronic course. The objective of this article is to conduct a systematic analysis of modern literature sources to clarify the factors, clinical and pathogenetic patterns of transformation of transient (short-term) epileptic psychosis into psychotic states with prolonged and chronic course, as well as to identify pathogenetically oriented principles of treatment of such patients. The prognostic value of clinical and neurophysiological factors regarding increasing of the psychotic process duration has been noticed, clinical patterns of transformation of short-term psychosis into long-term (changes in the dynamics and structure of psychosis, features of the relationship with organic personality disorder and dementia in epilepsy, as well as epileptic seizures) have been shown. A number of important neurophysiological pathogenetic mechanisms of increasing the psychosis duration (growing cerebral hypofrontality, temporal localization and regular spread of the epileptic process) have been identified. Pathogenetically oriented principles of treatment tactics of patients with epileptic psychoses have been described and analyzed taking into account the revealed regularities of increasing of their duration. |
| first_indexed | 2024-04-11T08:25:27Z |
| format | Article |
| id | doaj.art-4086f70407294edba0c82c17c205683c |
| institution | Directory Open Access Journal |
| issn | 2307-0404 |
| language | English |
| last_indexed | 2024-04-11T08:25:27Z |
| publishDate | 2022-09-01 |
| publisher | Dnipro State Medical University |
| record_format | Article |
| series | Medičnì Perspektivi |
| spelling | doaj.art-4086f70407294edba0c82c17c205683c2022-12-22T04:34:46ZengDnipro State Medical UniversityMedičnì Perspektivi2307-04042022-09-012739710210.26641/2307-0404.2022.3.265945303898Clinical and pathogenetic prediction of the dynamics of the course of psychoses in epilepsyS.G. Nosov0https://orcid.org/0000-0002-5465-1146L.М. Yuryeva1https://orcid.org/0000-0002-1713-1037T.Y. Shusterman2https://orcid.org/0000-0001-5422-1624O.V. Nekrasova3https://orcid.org/0000-0001-6272-5769Dnipro State Medical University, V. Vernadskyi str., 9, Dnipro, 49044Dnipro State Medical University, V. Vernadskyi str., 9, Dnipro, 49044Dnipro State Medical University, V. Vernadskyi str., 9, Dnipro, 49044CE «Dnipropetrovsk multidisciplinary clinical hospital for the provision of psychiatric care» DRC», Bekhterev str., Dnipro, 49115Transient epileptic psychoses in 30-40% of cases turn into psychotic states with a long, paroxysmal or chronic course. The objective of this article is to conduct a systematic analysis of modern literature sources to clarify the factors, clinical and pathogenetic patterns of transformation of transient (short-term) epileptic psychosis into psychotic states with prolonged and chronic course, as well as to identify pathogenetically oriented principles of treatment of such patients. The prognostic value of clinical and neurophysiological factors regarding increasing of the psychotic process duration has been noticed, clinical patterns of transformation of short-term psychosis into long-term (changes in the dynamics and structure of psychosis, features of the relationship with organic personality disorder and dementia in epilepsy, as well as epileptic seizures) have been shown. A number of important neurophysiological pathogenetic mechanisms of increasing the psychosis duration (growing cerebral hypofrontality, temporal localization and regular spread of the epileptic process) have been identified. Pathogenetically oriented principles of treatment tactics of patients with epileptic psychoses have been described and analyzed taking into account the revealed regularities of increasing of their duration.http://journals.uran.ua/index.php/2307-0404/article/view/265945epileptic psychosesprognosistransient courseparoxysmal coursechronic courseclinical-pathogenetic transformationtreatment |
| spellingShingle | S.G. Nosov L.М. Yuryeva T.Y. Shusterman O.V. Nekrasova Clinical and pathogenetic prediction of the dynamics of the course of psychoses in epilepsy Medičnì Perspektivi epileptic psychoses prognosis transient course paroxysmal course chronic course clinical-pathogenetic transformation treatment |
| title | Clinical and pathogenetic prediction of the dynamics of the course of psychoses in epilepsy |
| title_full | Clinical and pathogenetic prediction of the dynamics of the course of psychoses in epilepsy |
| title_fullStr | Clinical and pathogenetic prediction of the dynamics of the course of psychoses in epilepsy |
| title_full_unstemmed | Clinical and pathogenetic prediction of the dynamics of the course of psychoses in epilepsy |
| title_short | Clinical and pathogenetic prediction of the dynamics of the course of psychoses in epilepsy |
| title_sort | clinical and pathogenetic prediction of the dynamics of the course of psychoses in epilepsy |
| topic | epileptic psychoses prognosis transient course paroxysmal course chronic course clinical-pathogenetic transformation treatment |
| url | http://journals.uran.ua/index.php/2307-0404/article/view/265945 |
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