Abstract
In patients who present to neurology settings with history of epileptic seizures, psychiatric disorders may be the sole manifestation of apparent neurologic symptoms, or they may coexist. Current challenges for clinicians include distinguishing between two disorders and making the correct diagnoses, interpreting test results, and (co-) managing the disorder(s). Our goal is to provide the clinician with an integrated neuropsychiatric approach for the triage, assessment (history, screening tools, examination, diagnostic tests), and treatment (neurologic and/or psychiatric) of these challenging patients. In particular, use of schemata, tables, and algorithms will offer step-by-step approaches and guidelines for the clinician. Recommendations are made for the indications for psychiatric consultation, and co-management is recommended for patients with emergencies, those who fail routine psychiatric treatments, and those with complex presentations or multiple comorbid conditions.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 389-402 |
| Number of pages | 14 |
| Journal | Current Treatment Options in Neurology |
| Volume | 7 |
| Issue number | 5 |
| DOIs | |
| State | Published - Sep 2005 |
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ASJC Scopus subject areas
- Clinical Neurology
Cite this
An integrated neuropsychiatric approach to diagnosis and management of patients with epileptic seizures. / Hilty, Donald M.; Bourgeois, James A.; Sugden, Steven G.; Chang, Celia H.; Servis, Mark E.; Alsaadi, Taoufik M.
In: Current Treatment Options in Neurology, Vol. 7, No. 5, 09.2005, p. 389-402.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - An integrated neuropsychiatric approach to diagnosis and management of patients with epileptic seizures
AU - Hilty, Donald M.
AU - Bourgeois, James A.
AU - Sugden, Steven G.
AU - Chang, Celia H.
AU - Servis, Mark E.
AU - Alsaadi, Taoufik M.
PY - 2005/9
Y1 - 2005/9
N2 - In patients who present to neurology settings with history of epileptic seizures, psychiatric disorders may be the sole manifestation of apparent neurologic symptoms, or they may coexist. Current challenges for clinicians include distinguishing between two disorders and making the correct diagnoses, interpreting test results, and (co-) managing the disorder(s). Our goal is to provide the clinician with an integrated neuropsychiatric approach for the triage, assessment (history, screening tools, examination, diagnostic tests), and treatment (neurologic and/or psychiatric) of these challenging patients. In particular, use of schemata, tables, and algorithms will offer step-by-step approaches and guidelines for the clinician. Recommendations are made for the indications for psychiatric consultation, and co-management is recommended for patients with emergencies, those who fail routine psychiatric treatments, and those with complex presentations or multiple comorbid conditions.
AB - In patients who present to neurology settings with history of epileptic seizures, psychiatric disorders may be the sole manifestation of apparent neurologic symptoms, or they may coexist. Current challenges for clinicians include distinguishing between two disorders and making the correct diagnoses, interpreting test results, and (co-) managing the disorder(s). Our goal is to provide the clinician with an integrated neuropsychiatric approach for the triage, assessment (history, screening tools, examination, diagnostic tests), and treatment (neurologic and/or psychiatric) of these challenging patients. In particular, use of schemata, tables, and algorithms will offer step-by-step approaches and guidelines for the clinician. Recommendations are made for the indications for psychiatric consultation, and co-management is recommended for patients with emergencies, those who fail routine psychiatric treatments, and those with complex presentations or multiple comorbid conditions.
UR - http://www.scopus.com/inward/record.url?scp=29744433053&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=29744433053&partnerID=8YFLogxK
U2 - 10.1007/s11940-005-0031-1
DO - 10.1007/s11940-005-0031-1
M3 - Article
C2 - 16079043
AN - SCOPUS:29744433053
VL - 7
SP - 389
EP - 402
JO - Current Treatment Options in Neurology
JF - Current Treatment Options in Neurology
SN - 1092-8480
IS - 5
ER -