Epilepsia je chronické ochorenie, ktoré je často sprevádzané psychiatrickou komorbiditou. Najčastejšou z nich je depresia, ktorá je sprevádzaná subsyndromálnymi, atypickými a chronifikovanými príznakmi depresie. Incidencia depresie je u pa­cientov s epilepsiou vyššia ako u iných neurologických alebo chronických ochorení. Psychopatológia spojená s epilepsiou obťažuje pa­cienta častokrát viac ako samotné ochorenie. Cieľom práce je prezentácia a analýza kazuistiky 37-ročného muža s dia­gnózou epilepsie so sprievodnou psychiatrickou symp­tomatikou, ktorá znížila kvalitu jeho života oveľa viac ako samotné neurologické ochorenie. V kazuistike popisujeme klinické symp­tómy neuropsychiatrického ochorenia – epilepsie ako aj životné udalosti, ktoré sú u každého pa­cienta jedinečné a majú závažný vplyv na priebeh a liečbu epilepsie.

Epilepsy is a chronic disease that is often accompanied by psychiatric comorbidity. The most frequent of them is depression accompanied by subsyndromic, chronic and atypical symp­toms of depression. The incidence of depression in patients with epilepsy is higher than in other neurological or chronic diseases. Psychopathology associated with epilepsy often bothers the patient more than the disease itself. The aim of this work is to present and analyze a case report of a 37‐year‐old man dia­gnosed with epilepsy and associated psychiatric symp­tomatology that reduced his quality of life much more than the neurological disease itself. In this case report, we describe clinical symp­toms of neuropsychiatric disease – epilepsy as well as life events that are unique to each patient and have a significant impact on the course and treatment of epilepsy. Key words: epilepsy – anxiety – depression – personality changes The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study. The Editorial Board declares that the manu­script met the ICMJE “uniform requirements” for biomedical papers.

2 psychiatrická klinika LF UPJŠ a UNLP Košice

Succesfully treated depression in a patient with epilepsy – a case report