La tunisie Medicale - 2021 ; Vol 99 ( n°05 ) : 518-524
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Résumé

Résumé
La dépression constitue la comorbidité psychiatrique la plus fréquente chez les patients épileptiques avec un impact considérable sur la qualité de vie et un pronostic péjoratif quant à la réponse aux traitements pharmacologiques et chirurgicaux. La relation entre la dépression et l’épilepsie est bidirectionnelle impliquant des mécanismes physiopathogéniques communs. Malgré sa fréquence et son retentissement négatif sur l’évolution naturelle de la maladie épileptique, la dépression reste encore sous-diagnostiquée et insuffisamment traitée chez ces patients. Ceci peut être du au manque de formation spécifique des neurologues pour le dépistage et la prise en charge des comorbidités psychiatriques, ou encore à la présentation clinique atypique des symptômes dépressifs chez ce type de patients. La prise en charge de la dépression chez les épileptiques est à la fois pharmacologique et non pharmacologique, l’objectif principal étant d'obtenir une rémission complète des symptômes dépressifs sans réduire le seuil épileptogène. Cette mise au point a pour objectif de décrire les aspects épidémiologiques, cliniques et thérapeutiques de la dépression chez les patients atteints d'épilepsie, à la lumière des données les plus récentes de la littérature.

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