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Epilepsy, psychiatry, and neurology.
Epilepsia. 2009 Mar; 50 Suppl 3:50-5.E

Abstract

This article reviews the relationship between the psychiatry and neurology of epilepsy, especially in the last 100 years. Throughout most of its recorded history of 3 to 4 millennia epilepsy has been viewed as a supernatural or mental disorder. Although first suggested by Hippocrates in the 5th century B.C., the concept of epilepsy as a brain disorder only began to take root in the 17th and 18th centuries. The discipline of neurology emerged from "nervous disorders" or neuropsychiatry in the late 19th century, when vascular theories of epilepsy predominated. By the turn of the 19th century psychiatry and neurology were diverging and epilepsy remained to some extent in both disciplines. It was only in the middle of the 20th century with the development of electromagnetic theories of epilepsy that the concept of epilepsy per se as a neurological disorder was finally adopted in international classifications of disease. This was associated with a refined definition of the ictal, pre-, post-, and interictal psychological disorders of epilepsy, which have contributed to a renaissance of neuropsychiatry. At the beginning of the 21st century and the centenary of the ILAE psychiatry and neurology have been converging again, led in some respects by epilepsy, which has provided several useful models of mental illness and a bridge between the two disciplines.

Authors+Show Affiliations

Institute of Epileptology, King's College, London. reynolds@buckles.u-net.comNo affiliation info available

Pub Type(s)

Historical Article
Journal Article

Language

eng

PubMed ID

19298432

Citation

Reynolds, Edward H., and Michael R. Trimble. "Epilepsy, Psychiatry, and Neurology." Epilepsia, vol. 50 Suppl 3, 2009, pp. 50-5.
Reynolds EH, Trimble MR. Epilepsy, psychiatry, and neurology. Epilepsia. 2009;50 Suppl 3:50-5.
Reynolds, E. H., & Trimble, M. R. (2009). Epilepsy, psychiatry, and neurology. Epilepsia, 50 Suppl 3, 50-5. https://doi.org/10.1111/j.1528-1167.2009.02039.x
Reynolds EH, Trimble MR. Epilepsy, Psychiatry, and Neurology. Epilepsia. 2009;50 Suppl 3:50-5. PubMed PMID: 19298432.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Epilepsy, psychiatry, and neurology. AU - Reynolds,Edward H, AU - Trimble,Michael R, PY - 2009/3/21/entrez PY - 2009/3/28/pubmed PY - 2009/4/18/medline SP - 50 EP - 5 JF - Epilepsia JO - Epilepsia VL - 50 Suppl 3 N2 - This article reviews the relationship between the psychiatry and neurology of epilepsy, especially in the last 100 years. Throughout most of its recorded history of 3 to 4 millennia epilepsy has been viewed as a supernatural or mental disorder. Although first suggested by Hippocrates in the 5th century B.C., the concept of epilepsy as a brain disorder only began to take root in the 17th and 18th centuries. The discipline of neurology emerged from "nervous disorders" or neuropsychiatry in the late 19th century, when vascular theories of epilepsy predominated. By the turn of the 19th century psychiatry and neurology were diverging and epilepsy remained to some extent in both disciplines. It was only in the middle of the 20th century with the development of electromagnetic theories of epilepsy that the concept of epilepsy per se as a neurological disorder was finally adopted in international classifications of disease. This was associated with a refined definition of the ictal, pre-, post-, and interictal psychological disorders of epilepsy, which have contributed to a renaissance of neuropsychiatry. At the beginning of the 21st century and the centenary of the ILAE psychiatry and neurology have been converging again, led in some respects by epilepsy, which has provided several useful models of mental illness and a bridge between the two disciplines. SN - 1528-1167 UR - https://www.unboundmedicine.com/medline/citation/19298432/Epilepsy_psychiatry_and_neurology_ L2 - https://doi.org/10.1111/j.1528-1167.2009.02039.x DB - PRIME DP - Unbound Medicine ER -