Česká a slovenská psychiatrie

SOUHRN

Prevalencia depresívnych porúch pri diagnóze sclerosis multiplex je vysoká, nesúvisí so závažnosťou samotného ochorenia sclerosis multiplex. Do istej miery je výskyt depresií pri tomto ochorení podmienený imunosupresívnou liečbou. Depresie však zostávajú neliečené. Predkladáme prehľad možností antidepresívnej liečby a zaujímavú kazuistiku, v ktorej sa premietli mnohé otázky na ktoré musia reagovať neurológ spolu so psychiatrom.

Klíčová slova: sclerosis multiplex, depresia, antidepresíva, imunosupredívna liečba.

SUMMARY

Vavrušová L.: Depressive Diseases and Multiple Sclerosis

Prevalence of depressive disorders in multiple sclerosis patients is high and is not correlated with severity of multiple sclerosis symptoms. Depressive symptoms are probably associated with the immunosuppressive treatment used. Depression remains usually unrecognized and untreated. We present a review of antidepressants available for the treatment of depression in multiple sclerosis patients and we also present an interesting case report in which many questions were raised that had to be answered by neurologist and psychiatrist in cooperation.

Key words: multiple sclerosis, depression, antidepressants, immunosuppressants.