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Chapter 31.Posttraumatic Epilepsy

Edited by:
    https://doi.org/10.1176/appi.books.9781615372645.js31

    Sections

    Timing of Posttraumatic Seizures | Clinical Factors Related to Risk | Etiology and Pathophysiology | Posttraumatic Seizure Types | Diagnosis | Antiepileptic Drug Prophylaxis | Antiepileptic Drug Treatment | Surgical Treatment | Psychiatric Aspects of Posttraumatic Epilepsy | Psychogenic Nonepileptic Seizures | Prognosis | Conclusion | References

    Excerpt

    Recovery from a traumatic brain injury (TBI) involves dealing with problems that can be physical, cognitive, and psychological in nature. The development of posttraumatic epilepsy (PTE) further complicates recovery via the physical and psychological consequences of seizures, as well as the potential effects of medications used for their treatment. Whereas most posttraumatic symptoms show gradual improvement of variable degrees over time, PTE is unique because its onset is often delayed even years after TBI, leading to a physical and psychological setback that may have negative impacts on recovery, and has been shown to worsen functional outcome after TBI (Asikainen et al. 1999).

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