Epileptic equivalents

In some cases, epilepsy appears mood disorders, disorders of consciousness, or psychosis. As these painful conditions arise as if instead of seizures and not accompanied convulsive components, they are often called psychic equivalents or just equivalents (equivalent equivalent). Some patients equivalents occur without connection with a history of seizures, other have before or after the attacks. Most equivalents characterized by the following common features: as a rule, by the suddenness of the beginning and the end, the uniformity of mental disorders in the same patient, the short duration (from several minutes to several days, rarely weeks), often combined with numbness.
Epileptic mood disorders (dysphoria) , you can identify each patient with epilepsy. In some cases, there is sadness, followed by rage, fault-finding, suspicion, tension, a tendency to quarrels and sudden aggressive actions. In other sick sad, silent, inactive, complain about the inability to think, to understand addressed to them questions. Often dysphoria occur on the background of the changed consciousness, followed by a partial zapamatovat period of mood disorders. During dysphoria people with epilepsy can maim or kill someone or themselves; at this time, patients often arise state binge drinking, irrepressible desire to wander, theft, arson, sexual crimes.
Twilight dizziness is the most common form of altered consciousness with epilepsy. It can manifest its simple form, outpatient automatism (involuntary movement, which is not stored memories), proselochnyy twilight numbness (see Consciousness disorders), and accompanied by delusions, hallucinations and other symptoms. The peculiarity of hallucinatory-delusional disorders in epilepsy is awesome character. Dominated by visual, often stenopodidea hallucinations, painted in red, yellow, blue, often brilliant. Frequent visions of blood, fire, explosions, as well as a variety of scenes of religious and erotic content - saints, hell, Paradise, torture, naked genitals, violence, etc. Olfactory hallucinations are often the nature of unpleasant odors, smoke, burnt pen and hair, Gorely, mold, toxic gases. Characteristic for epilepsy religious nonsense, and delusions of persecution. Musculoskeletal disorders are determined by the excitation, accompanied by anger, frantic with rage or ecstasy, with different degrees of severity stuporous state (see Catatonic syndrome). If numbness in epilepsy is accompanied by the predominance of the visual hallucinations and incomplete zapamatovat period of psychosis, said about the epileptic of deliria.
Epileptic delusional psychosis without altered consciousness occur acutely and chronically. Acute psychosis is defined anxiety-fearful, lonely-vicious and value-ecstatic mood and metasistematika gibberish to the topic of the persecution, poisoning, hypochondriac or religious nature. These States are accompanied also with other disorders, characteristic of acute delirium.
Chronic delusional psychosis with epilepsy developing on the residual Breda (see Delusional syndrome) or with frequent acute delusional psychosis. Just as in dim conditions, frequent psychosis with delusions of religious and mystical content, by delusions of persecution, greatness, psychic automatism, auditory hallucinations (see Hallucinatory syndromes).
In cases where epilepsy occurs only in the form of cash equivalents, talk about the hidden or mental epilepsy.