Psychosis of Epilepsy: An Update on Clinical Classification and Mechanism

Epilepsy is a prevalent chronic neurological disorder that can significantly impact patients’ lives. The incidence and risk of psychosis in individuals with epilepsy are notably higher than in the general population, adversely affecting both the management and rehabilitation of epilepsy and further...

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Main Authors: Zhiruo Qiu, Jiahui Guo, Bofei Chen, Jiajia Fang
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/15/1/56
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author Zhiruo Qiu
Jiahui Guo
Bofei Chen
Jiajia Fang
author_facet Zhiruo Qiu
Jiahui Guo
Bofei Chen
Jiajia Fang
author_sort Zhiruo Qiu
collection DOAJ
description Epilepsy is a prevalent chronic neurological disorder that can significantly impact patients’ lives. The incidence and risk of psychosis in individuals with epilepsy are notably higher than in the general population, adversely affecting both the management and rehabilitation of epilepsy and further diminishing patients’ quality of life. This review provides an overview of the classification and clinical features of psychosis of epilepsy, with the aim of offering insights and references for the clinical diagnosis and treatment of various types of psychosis of epilepsy. Additionally, we examine the potential pathophysiological mechanisms underlying the psychosis of epilepsy from three perspectives: neuroimaging, neurobiology, and genetics. The alterations in brain structure and function, neurotransmitters, neuroinflammatory mediators, and genetic factors discussed in this review may offer insights into the onset and progression of psychotic symptoms in epilepsy patients and are anticipated to inform the identification of novel therapeutic targets in the future.
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spelling doaj-art-298421dc39e6432086223fceb88ad6422025-01-24T13:25:01ZengMDPI AGBiomolecules2218-273X2025-01-011515610.3390/biom15010056Psychosis of Epilepsy: An Update on Clinical Classification and MechanismZhiruo Qiu0Jiahui Guo1Bofei Chen2Jiajia Fang3Department of Neurology, The Fourth Affiliated Hospital, International Institutes of Medicine, Zhejiang University School of Medicine, Yiwu 322000, ChinaDepartment of Neurology, The Fourth Affiliated Hospital, International Institutes of Medicine, Zhejiang University School of Medicine, Yiwu 322000, ChinaDepartment of Neurology, The Fourth Affiliated Hospital, International Institutes of Medicine, Zhejiang University School of Medicine, Yiwu 322000, ChinaDepartment of Neurology, The Fourth Affiliated Hospital, International Institutes of Medicine, Zhejiang University School of Medicine, Yiwu 322000, ChinaEpilepsy is a prevalent chronic neurological disorder that can significantly impact patients’ lives. The incidence and risk of psychosis in individuals with epilepsy are notably higher than in the general population, adversely affecting both the management and rehabilitation of epilepsy and further diminishing patients’ quality of life. This review provides an overview of the classification and clinical features of psychosis of epilepsy, with the aim of offering insights and references for the clinical diagnosis and treatment of various types of psychosis of epilepsy. Additionally, we examine the potential pathophysiological mechanisms underlying the psychosis of epilepsy from three perspectives: neuroimaging, neurobiology, and genetics. The alterations in brain structure and function, neurotransmitters, neuroinflammatory mediators, and genetic factors discussed in this review may offer insights into the onset and progression of psychotic symptoms in epilepsy patients and are anticipated to inform the identification of novel therapeutic targets in the future.https://www.mdpi.com/2218-273X/15/1/56psychosis of epilepsymechanismbiomarkersneuroimagingneurobiologygenetics
spellingShingle Zhiruo Qiu
Jiahui Guo
Bofei Chen
Jiajia Fang
Psychosis of Epilepsy: An Update on Clinical Classification and Mechanism
Biomolecules
psychosis of epilepsy
mechanism
biomarkers
neuroimaging
neurobiology
genetics
title Psychosis of Epilepsy: An Update on Clinical Classification and Mechanism
title_full Psychosis of Epilepsy: An Update on Clinical Classification and Mechanism
title_fullStr Psychosis of Epilepsy: An Update on Clinical Classification and Mechanism
title_full_unstemmed Psychosis of Epilepsy: An Update on Clinical Classification and Mechanism
title_short Psychosis of Epilepsy: An Update on Clinical Classification and Mechanism
title_sort psychosis of epilepsy an update on clinical classification and mechanism
topic psychosis of epilepsy
mechanism
biomarkers
neuroimaging
neurobiology
genetics
url https://www.mdpi.com/2218-273X/15/1/56
work_keys_str_mv AT zhiruoqiu psychosisofepilepsyanupdateonclinicalclassificationandmechanism
AT jiahuiguo psychosisofepilepsyanupdateonclinicalclassificationandmechanism
AT bofeichen psychosisofepilepsyanupdateonclinicalclassificationandmechanism
AT jiajiafang psychosisofepilepsyanupdateonclinicalclassificationandmechanism