• Brit J Hosp Med · Apr 2023

    Review

    The who, what, when and why of cognitive difficulties in epilepsy.

    • Sallie Baxendale.
    • Department of Clinical and Experimental Epilepsy, Institute of Neurology, University College Hospital, London, UK.
    • Brit J Hosp Med. 2023 Apr 2; 84 (4): 181-8.

    AbstractCognitive complaints are very common in people diagnosed with epilepsy. These difficulties are often another manifestation of the same pathology responsible for seizures. They can be further exacerbated by treatments aimed at seizure control. Other common comorbidities of epilepsy such as low mood and elevated anxiety can also contribute to cognitive complaints. There is surprisingly little overlap between memory complaints and performance on formal memory tests in this population. This article examines the multifactorial and heterogeneous nature of cognitive difficulties in epilepsy and makes the case for the provision of basic psychoeducation as the foundation for all interventions aimed at ameliorating these difficulties in this patient population.

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