[Epilepsy at a psychiatric hospital].

Abstract:

:Epilepsy was surveyed in the largest psychiatric hospital in the Santa Catarina State, southern Brazil. This establishment was designed for one thousand long-term beds but at the time of the survey there were 1126 inpatients. Diagnosis ranged from anxiety neurosis to schizophrenia although patients with epilepsy, with or without psychiatric symptoms were also admitted. The following aspects were analyzed: prevalence of epilepsy, seizure types, antiepileptic drug treatment and psychiatric diagnosis. 171 patients with epilepsy were identified (prevalence 152/1000), generalized tonic clonic attacks were the commonest seizure type and polytherapy was the standard treatment. In at least 85 of the epileptic patients there was no reason for prolonged institutionalization in a psychiatric environment. Moreover, most of the sample were prescribed large amounts of sedative drugs. A multidisciplinary approach and outpatients services are urgently required to improve the prognosis and well-being of patients with epilepsy who are referred to psychiatric care.

journal_name

Arq Neuropsiquiatr

authors

Trevisol-Bittencourt PC,Becker N,Pozzi CM,Sander JW

doi

10.1590/s0004-282x1990000300001

subject

Has Abstract

pub_date

1990-09-01 00:00:00

pages

261-9

issue

3

eissn

0004-282X

issn

1678-4227

journal_volume

48

pub_type

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