Fatigue and cognitive functions in epilepsy: A review of the literature

Epilepsy Behav. 2021 Jan;114(Pt A):107541. doi: 10.1016/j.yebeh.2020.107541. Epub 2020 Nov 24.

Abstract

Epilepsy is a common neurological disorder affecting people of all ages and inducing cognitive impairments. While research has advanced in terms of neuropsychological enquiries of the various epileptic syndromes, the understanding of more complex and ill-defined phenomena such as fatigue is still unclear for epilepsy. It is suggested that fatigue is not just physical, but there can also be a cognitive element to it. Although studies in other conditions have been able to identify a relationship between fatigue and particular cognitive components, similar evidence is sparse in patients with epilepsy. This review is an attempt to gather, analyze, integrate, and critically discuss available information on fatigue and its rapport with various aspects of epilepsy, particularly focusing on cognition. Future directions are discussed urging researchers to target cognitive components of fatigue.

Keywords: Cognitive impairment; Epilepsy; Fatigue; Neuropsychology; Review.

Publication types

  • Review

MeSH terms

  • Cognition
  • Cognition Disorders* / etiology
  • Cognitive Dysfunction*
  • Epilepsy* / complications
  • Fatigue / etiology
  • Humans
  • Neuropsychological Tests