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October 1982

Epilepsy and Psychiatry

Author Affiliations

University of Iowa Hospitals Iowa City, IA 52242


edited by E. H. Reynolds and M. R. Trimble, 379 pp, with illus, $55, New York, Churchill Livingstone, 1981.

Arch Neurol. 1982;39(10):675. doi:10.1001/archneur.1982.00510220073029

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This book celebrates the centenary of Sir William Gower's classic work, Epilepsy and Other Chronic Convulsive Diseases. Twenty British authors have prepared 26 timely and concise chapters that consider the relationship of mental disorders and epilepsy. Contributors include neurologists, neurophysiologists, psychiatrists, and social workers.

Historical conceptions and misconceptions relating epilepsy and mind are well reviewed in the initial chapter, which is followed by a discussion of the classification and phenomenology of the psychiatric disorders of epilepsy. After that, the specific psychiatric concerns of depression, anxiety, suicide, personality and behavior disorders, hysteria, and psychoses are considered as they relate to epilepsy. One chapter is devoted to the management of seizures associated with psychological disorders, and another to psychotropic drugs in the management of epilepsy.

Cognitive impairment and mental retardation are considered in the epileptic patient. Long-term outcome of temporal lobe epilepsy is reviewed. Chapters dealing with the limbic system, EEGs and

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