bekhterevОбозрение психиатрии и медицинской психологии имени В.М.БехтереваV.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY2313-70532713-055XV. M. BEKHTEREV NATIONAL RESEARCH MEDICAL CENTER FOR PSYCHIATRY AND NEUROLOGY OF THE RUSSIAN FEDERATION MINISTRY OF HEALTH10.31363/2313-7053-2025-1-934bekhterev-1108Research ArticleНАУЧНЫЕ ОБЗОРЫSCIENTIFIC REVIEWЭпилепсия и криминальное поведение (обзор зарубежной литературы)Epilepsy and criminal behavior (review of literature)https://orcid.org/0000-0002-0010-8869МусинаГ. М.MusinaG. M.

Мусина Гулиса Марсельевна — к.м.н., ассистент кафедры неврологии

г. Воронеж, 394036, Воронежская обл, г. Воронеж, ул. Студенческая, д. 10

Gulisa M. Musina

Voronezh

nevrolog2009@yandex.ruhttps://orcid.org/0000-0003-1111-6378ВоронковаК. В.VoronkovaK. V.

Воронкова Кира Владимировна —д.м.н., профессор кафедры неврологии ФДПО Института непрерывного образования и профессионального развития

117997, Москва, ул. Островитянова, д.1;

невролог ЦНЭПС и ЛДЦ Научно-клинического центра №2

119991, г. Москва, Абрикосовский пер., д.2

Kira V. Voronkova 

Moscow

kiravoronkova@yandex.ruhttps://orcid.org/0000-0001-9961-0199ПетрухинА. С.PetrukhinA. S.

Петрухин Андрей Сергеевич - д.м.н., профессор кафедры неврологии, нейрохирургии и медицинской генетики лечебного факультета

117997, г. Москва, ул. Островитянова, д. 1

Andrey S. Petrukhin

Moscow

epineuro@yandex.ruВоронежский государственный медицинский университет им. Н.Н. Бурденко; Башкирский государственный медицинский университетРоссияVoronezh State Medical University named after N.N. Burdenko; Bashkir State Medical UniversityRussian FederationРоссийский национальный исследовательский медицинский университет имени Н.И. Пирогова; Российский научный центр хирургии им. академика Б.В. ПетровскогоРоссияRussian National Research Medical University named after N.I. Pirogov; Petrovsky National Research Centre of SurgeryRussian FederationРоссийский национальный исследовательский медицинский университет имени Н.И. ПироговаРоссияRussian National Research Medical University named after N.I. PirogovRussian Federation202528032025591817Copyright © Мусина Г.М., Воронкова К.В., Петрухин А.С., 20252025Мусина Г.М., Воронкова К.В., Петрухин А.С.Musina G.M., Voronkova K.V., Petrukhin A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.bekhterevreview.com/jour/article/view/1108

При эпилепсии возможны расстройства поведения, вплоть до криминального. Криминальные происшествия могут возникать в преиктальном, интериктальном, иктальном и постиктальных периодах, могут быть обусловлены нежелательными явлениями противосудорожных препаратов и другими факторами. Самое опасное постиктальное расстройство поведения, в том числе, в плане криминальных происшествий—постиктальный психоз.Нередко людям с эпилепсией требуются опытные неврологи и юристы для разрешения криминальных ситуаций. Международной Противоэпилептической Лигой рекомендованы критерии для определения того, является ли конкретный акт криминального происшествия, совершенный пациентом с эпилепсией, результатом эпилептического приступа.В целом, в диагностике криминального поведения при эпилепсии требуется криминалистически обоснованный, комплексный междисциплинарный подход, который объединяет нейропсихиатрические, нейропсихологические и психофизиологические методы, с учетом факторов риска и усугубляющих моментов.

With epilepsy, behavioral disorders are possible, including criminal ones. Criminal incidents can occur in the preictal, interictal, ictal and postictal periods, and may be due to adverse events of anticonvulsants and other factors. The most dangerous postictal behavioral disorder, including in terms of criminal incidents, is postictal psychosis.Often people with epilepsy need experienced neurologists and lawyers to resolve criminal situations. The International League Against Epilepsy recommends criteria for determining whether a particular criminal act committed by a patient with epilepsy is the result of an epileptic seizure.In general, a forensically sound, comprehensive interdisciplinary approach to the diagnosis of criminal behavior in epilepsy is required, which combines neuropsychiatric, neuropsychological and psychophysiological methods, taking into account risk factors and aggravating factors.

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The authors declare that there are no conflicts of interest present.