POST-ICTAL PSYCHOSIS AFTER RIGHT TEMPORAL LOBECTOMY

被引:58
作者
MANCHANDA, R
MILLER, H
MCLACHLAN, RS
机构
[1] UNIV WESTERN ONTARIO,DEPT PSYCHIAT,LONDON N6A 3K7,ONTARIO,CANADA
[2] UNIV WESTERN ONTARIO,DEPT CLIN NEUROL SERV,LONDON N6A 3K7,ONTARIO,CANADA
关键词
D O I
10.1136/jnnp.56.3.277
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Of 298 patients who had temporal lobectomies for intractable epilepsy, 4 (1.3%) developed post-ictal psychosis for the first time after surgery. All were males of normal intelligence with no pre-operative psychiatric disorder. Psychosis followed both complex partial and generalised seizures. The psychotic symptoms showed polymorphic features. Right temporal lobectomy may increase the susceptibility to post-ictal psychosis in patients who are not seizure free after surgery, particularly in the first post-operative year.
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页码:277 / 279
页数:3
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