Management of anhedonia after epilepsy surgery.

Epilepsy Behav Rep

Faculdade Santa Casa BH, Belo Horizonte, Brazil.

Published: March 2024

Anhedonia is clinically defined as difficulty or inability to feel pleasure or to be motivated to perform activities that were previously pleasurable. Anhedonia is a core feature of depressive disorders but can be present in other conditions such as substance use and anxiety disorders. Herein we report the case of a 34-year-old female who developed marked anhedonia after left cortico-amygdalohippocampectomy. Despite optimal seizure control, the person struggled with anhedonia and other depressive symptoms. After ruling out medico-neurologic complications, she was prescribed with a selective serotonin reuptake inhibitor and cognitive-behavioral therapy. Anhedonia can be a challenging neuropsychiatric presentation that requires ruling out the effects of antiseizure medications, neurosurgery, and other drugs before prescribing antidepressants.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940138PMC
http://dx.doi.org/10.1016/j.ebr.2024.100658DOI Listing

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