Antiepileptic Drugs in Patients With Aggression and Epilepsy

Abstract

In the United States, the prevalence and incidence of epilepsy are about 5 to 8.4 per 1000 and 35.5 to 71 per 100,000 persons per year, respectively. Epilepsy management is a personalized and multifactorial medical approach; it is based on the type of epilepsy syndrome, severity and frequency of epileptic seizures, antiepileptic drug's (AED) side effects, drug-drug interactions, disease-related psychosocial problems, and the overall lifestyle of the patient. Aggressive behavior is a major side effect of many AEDs. It deteriorates patients' health. In this study, we reviewed different mechanisms of aggression in patients with or without epilepsy, and eventually, we introduced medications that potentially managed both.