Emotional recognition in patients with resistant temporal lobe epilepsy with and without psychiatric comorbidity.

FERNÁNDEZ LIMA, MÓNICA; GIAGANTE, BRENDA; KOCHEN, SILVIA; PEREIRA DE SILVA, NAHUEL; PRINCICH, JUAN; ODDO, SILVIA; SOLÍS, PATRICIA; D´ALESSIO, LUCIANA

Cancún

Congreso; IX Congreso Latinoamericano de Epilepsia; 2016

Evento: IX Congreso Latinoamericano de Epilepsia; International League Against Epilepsy (ILAE) ? International Bureau for Epilepsy (IBE)

Introduction and objectives. Resistant temporal lobe epilepsy (RTLE) is associated with a high frequency of psychiatric comorbidity (PC), being more frequent depression and psychosis spectrum disorders. These conditions are associated with alterations in emotional recognition (ER). The aim of this study is to determine the performance in ER of patients with RTLE and PC. Material and methods. RTLE patients diagnosed with epilepsy protocol (neurological and neuropsychological evaluation, EEG, VEEG and MRI) were included. Psychiatric evaluation (SCID I - SCID II interviews from DSM IV-TR) was performed, and the ER was determined by using stimuli set from "pictures of facial emotions" ?POFA- (Ekman and Friesen, 1976). Three groups of subjects were compared: 1-Controls, 2-Patients with RTLE without PC, 3- Patients with RTLE and PC. ANOVA and Bonferroni test.Results: 67 subjects were included: 21 controls, 22 patients with RTLE without PC, 24 patients with RTLE and PC. The percentages of right answers in the ER test were: control group: 77.82%; RTLE without PC group: 73.25%; RTLE with PC group: 66.20%. (P = 0.002), having a lower yield for RTLE with PC group, in particular in the recognition of fear (p = 0.001) and surprise (p = 0.004).Conclusions. The PC in patients with RTLE determines a greater compromise in the ER with worse performance in the recognition of fear and surprise. These results may partially explain the worst functional and social performance observed in these patients.