てんかん—精神科の立場から

Epilepsy from a Psychiatrist's Perspective

精神科と脳神経内科の狭間で，てんかんはしばしば課題となる。診断は問診と脳波検査が基本で，他疾患との鑑別が重要である。特に失神や心因性非てんかん発作との違いを見極めるためには，経験と適切な判断が求められる。精神科では，てんかんと併存する精神症状への配慮が必要で，薬剤選択にも慎重を期す。加えて，神経疾患との鑑別やてんかん重積の対応には脳神経内科との連携が不可欠であり，両科の協力体制が求められる。

Abstract

Epilepsy often presents challenges at the intersection of psychiatry and neurology. Diagnosis relies primarily on detailed interviews and electroencephalography tests, with differentiation from other conditions being crucial. Distinguishing epilepsy from syncope or psychogenic non-epileptic seizures requires experience and sound judgment. In psychiatry, special attention must be paid to psychiatric symptoms that co-occur with epilepsy and careful consideration is needed when choosing medications. Additionally, for differentiation from other neurological disorders and management of status epilepticus, close collaboration with neurologists is essential, highlighting the need for an integrated approach between both specialties.