Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jul 1;79(1):11-20.
doi: 10.33588/rn.7901.2024054.

Neurologic comorbidity in psychiatric inpatients: evidence from neurologic consultations in a Spanish center

[Article in English, Spanish]
C Peña-Salazar  1   2 , N Kazah  1 , B Carrillo  3 , C Díaz  1 , A Callén  4 , A Serrano-Blanco  1   2 , I Aznar-Lou  1   2
Affiliations

Neurologic comorbidity in psychiatric inpatients: evidence from neurologic consultations in a Spanish center

[Article in English, Spanish]
C Peña-Salazar et al. Rev Neurol. .

Abstract
in English, Spanish

Introduction: The presence of psychiatric comorbidity in some neurological disorders is common. A bi-directional influence between some psychiatric and neurological disorders has been discussed, but not widely studied. There is an absence of literature on the typology and rates of neurology consultations in different types of psychiatric inpatients.

Materials and methods: Cross-sectional study based on real world data on patients who had a neurological consultation during hospitalization on a psychiatric ward.

Results: The most frequent reasons for visits to neurologists in our study were cluster 'Epilepsy/other types of non-epileptic seizures' (n = 177, 36.44%), followed by cluster 'Movement disorders' (n = 77, 20.48%), 'Cognitive disorder' (n = 69, 18.35%), and finally cluster 'Neuropathy' (n = 21, 5.59%). The most frequent type of psychiatric patient who required neurologic consultation presented a psychotic disorder (n = 100, 26.60%), follow by problem behavior (n = 82, 21.81%), bipolar disorder (n = 78, 20.78%), depressive disorder (n = 42, 11.17%) and autism spectrum disorder (n = 20, 5.32%). We found a statistically significant relationship between (problem behavior and intellectual disability) and neurologic consultation for epilepsy/other types of non-epileptic seizures, and between (depressive disorder, bipolar disorder, autism spectrum disorder and intellectual disability) and neurologic consultation for movement disorders.

Conclusions: This is the first study in the literature which analyzes the rates and typology of neurologic consultations in people hospitalized with psychiatric disorders. A deep knowledge of epilepsy, movement disorders and cognitive disorders should be required for health professionals to treat psychiatric inpatients appropriately. Patients with particular psychiatric disorders seem to require a higher number of neurologic consultations than others during their hospitalization.

Title: Comorbilidad neurológica en pacientes psiquiátricos ingresados: evidencia sobre interconsultas de neurología en un centro español.

Introducción. La presencia de comorbilidad psiquiátrica en algunos trastornos neurológicos es frecuente. Se ha discutido sobre una influencia bidireccional entre algunos trastornos psiquiátricos y neurológicos, pero este hecho no se ha estudiado ampliamente. Existe escasa información en la bibliografía sobre la tipología y la prevalencia de las interconsultas de neurología en los diferentes tipos de pacientes psiquiátricos hospitalizados. Materiales y métodos. Estudio transversal basado en datos reales sobre pacientes que necesitaron una interconsulta de neurología durante su hospitalización en salud mental. Resultados. Los motivos más frecuentes que requirieron una interconsulta de neurología en nuestro estudio fueron el clúster ‘Epilepsia/otros tipos de crisis no epilépticas’ (n = 177; 36,44%), seguido del clúster ‘Trastornos del movimiento’ (n = 77; 20,48%), el clúster ‘Trastorno cognitivo’ (n = 69; 18,35%) y, por último, el clúster ‘Neuropatía’ (n = 21; 5,9%). El tipo más frecuente de paciente psiquiátrico que requirió consulta neurológica presentó un trastorno psicótico (n = 100; 26,6%), seguido de problemas de conducta (n = 82; 21,81%), trastorno bipolar (n = 78; 20,78%), trastorno depresivo (n = 42; 11,17%) y trastorno del espectro autista (n = 20; 5,32%). Se encontró una relación estadísticamente significativa entre problemas de conducta y discapacidad intelectual e interconsulta de neurología por epilepsia/otros tipos de crisis no epilépticas, y entre trastorno depresivo, trastorno bipolar, trastorno del espectro autista y discapacidad intelectual e interconsulta de neurología por trastornos del movimiento. Conclusiones. Éste es el primer estudio en la bibliografía que analiza la frecuencia y la tipología de las interconsultas de neurología en personas hospitalizadas con trastornos psiquiátricos. Debe requerirse a los profesionales que traten a pacientes de salud mental hospitalizados un conocimiento profundo en epilepsia, trastornos del movimiento y trastornos cognitivos. Algunos pacientes con determinados trastornos psiquiátricos parecen necesitar un mayor número de interconsultas de neurología que otros durante su hospitalización.

PubMed Disclaimer

Conflict of interest statement

Conflicto de intereses: Los autores declaran no tener conflictos de intereses.

Similar articles

See all similar articles

References

    1. Hesdorffer DC. Comorbidity between neurological illness and psychiatric disorders. CNS Spectr. 2016;21:230–8. - PubMed
    1. Chang YT, Chen PC, Tsai IJ, Sung FC, Chin ZN, Kuo HT, et al. Bidirectional relation between schizophrenia and epilepsy:a population-based retrospective cohort study. Epilepsia. 2011;52:2036–42. - PubMed
    1. Kanner AM, Schachter SC, Barry JJ, Hersdorffer DC, Mula M, Trimble M, et al. Depression and epilepsy, pain and psychogenic non-epileptic seizures:clinical and therapeutic perspectives. Epilepsy Behav. 2012;24:169–81. - PubMed
    1. Fiest KM, Sauro KM, Wiebe S, Patten SB, Kwon CS, Dykeman J, et al. Prevalence and incidence of epilepsy:a systematic review and meta-analysis of international studies. Neurology. 2017;88:296–303. - PMC - PubMed
    1. Akrout Brizard B, Limbu B, Baeza-Velasco C, Deb S. Association between epilepsy and psychiatric disorders in adults with intellectual disabilities:systematic review and meta-analysis. BJPsych Open. 2021;7:e95. - PMC - PubMed

LinkOut - more resources