RELACIÓN ENTRE EPILEPSIA Y TRASTORNOS PSIQUIÁTRICOS EN ADULTOS DEL INSTITUTO DE NEUROCIENCIAS DE GUAYAQUIL, PERIODO 2011 - 2016

Abstract

Psychiatric manifestations have often been observed after the onset of epilepsy. However, the association between the two pathologies is not fully understood. The objective of this investigation is to determine the prevalence of psychiatric disorders in adult epileptic patients of the Neurosciences Institute of Guayaquil from 2011 to 2016; and thus to know the possible relation and development regarding their psychiatric comorbidity. Methodology: An observational descriptive cross-sectional retrospective study was conducted in 70 adult patients with a diagnosis of epilepsy belonging to the Neurosciences Institute of Guayaquil, according to the inclusion criteria. Data was collected from November 1, 2017 to February 28, 2018, through a previously prepared clinical record, where the necessary information was recorded for further analysis. Results: We found 46 (66%) patients with a confirmed diagnosis of epilepsy associated with psychiatric disorders, of which 93% of the population analyzed originated from the province of Guayas, especially from urbanperipheral areas (57%). The average number of patients studied was 41 to 60 years of age, which turned out to be the most affected age group, along with those older than 60 years (45.7%). 55.7% (39) were women, with a predominance of females, in relation to the male sex, which was 44.3% (31). The main psychiatric disorder was epileptic psychosis with 59% (41). 100% of the patients analyzed had ictal symptoms and 43% (30) had postictal symptoms. Conclusion: The most frequently psychiatric disorder observed was psychosis