Neuropsiquiatría clínica de la epilepsia: la amnesia epiléptica transitoriaa propósito de un caso

  1. Lázaro Perlado, Fernando
  2. Marín Díaz-Guardamino, Elena
  3. Conde Rivas, M.
Aldizkaria:
Revista de la Asociación Española de Neuropsiquiatría

ISSN: 0211-5735

Argitalpen urtea: 2014

Alea: 34

Zenbakia: 123

Orrialdeak: 539-558

Mota: Artikulua

DOI: 10.4321/S0211-57352014000300007 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Revista de la Asociación Española de Neuropsiquiatría

Garapen Iraunkorreko Helburuak

Laburpena

Introducción: Muchos pacientes epilépticos refieren problemas mnésicos. Encontramos un grupo de pacientes que presentan episodios amnésicos de repetición y problemas en la memoria autobiográfica. Este cuadro clínico ha sido definido como "amnesia epiléptica transitoria". Tras revisar la literatura, describimos las características de esta entidad nosológica con detalle. Caso clínico: Informamos de un caso de amnesia epiléptica transitoria en un varón de 58 años, con un diagnóstico previo de epilepsia y cuadro afectivo, que presenta episodios recurrentes y transitorios de amnesia mostrando el resto de sus funciones cognitivas preservadas. Durante los ataques se describen automatismos oro-alimentarios, breves ataques de estupor sin pérdida de consciencia ni desconexión con el medio. Conclusiones: La amnesia epiléptica transitoria es un subtipo de epilepsia del lóbulo temporal bien definido pero infradiagnosticado. En casos de pacientes que refieren únicamente problemas de memoria, sobre todo si son episodios de amnesia breves y recurrentes, y en aquéllos pacientes que refieran deficiencias en la memoria remota, la amnesia epiléptica transitoria debe ser considerada como una opción diagnóstica seria. El tratamiento con fármacos anticomiciales produce muy buenos resultados.

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