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Journal of Neurology and Clinical Neuroscience

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The association of temporal lobe epilepsy with mental health or psychiatric disorder

Author(s): Jamila Khatoon Adam

 Temporal Lobe Epilepsy (TLE) is defined as a condition characterised by recurrent, unprovoked seizures, originating from medial and lateral temporal lobe. This common type of epilepsy is sometimes difficult to diagnose, but once diagnose it can be effectively treated with medication. Patients exhibit a varying severity of affective, behavioural, psychotic, or personality, psychotic, or personality abnormalities, which in turn, may not only lead to misdiagnosis, but also affect the management of TLE. EEG remains the primary diagnostic test of brain function such as seizures or epilepsy, head injuries, dizziness, headaches, brain tumours, sleeping disorders, stroke, dementia. Activation procedures maybe  carried out.  This   includes hyperventilation (rapid, deep breathing) and photic stimulation  (rhythmic flashes of a bright light). These additional  procedures may evoke  abnormalities that did not occur during the artefact free EEG recording.Very serious consequences can occur if misdiagnosis is made, as it can often lead to the incorrect medication being described, which in some cases worsen the seizures or may exacerbate other symptoms such as depression and or panic. Epilepsy and psychiatric disorder are not mutually exclusive diagnosis and could easily co-exist. Overlooking either diagnosis in a patient afflicted with both could possibly lead to treatment failures.