ABSTRACT
We report a case of a female patient with refractory complex partial seizures since 15 years of age, recurrent postictal psychotic episodes since 35 which evolved to a chronic refractory interictal psychosis and MRI with right mesial temporal sclerosis (MTS). After a comprehensive investigation (video-EEG intensive monitoring, interictal and ictal SPECT, and a neuropsychological evaluation including WADA test) she was submitted to a right temporal lobectomy. Since then, she has been seizure-free with remission of psychosis, although with some persistence of personality traits (hiperreligiosity, viscosity) which had been present before surgery. This case supports the idea that temporal lobectomy can be a safe and effective therapeutic measure for patients with MTS, refractory epilepsy and recurrent postictal epileptic psychosis or interictal epileptic psychosis with postictal exacerbation
Subject(s)
Humans , Female , Middle Aged , Epilepsy, Temporal Lobe/surgery , Psychotic Disorders/complications , Temporal Lobe/surgery , Epilepsy, Temporal Lobe/complications , Magnetic Resonance ImagingABSTRACT
Jogo patologico e uma transtorno psiquiatrico cujo diagnostico operacional foi formalizado recentemente. Tambem chamado de jogo compulsivo, esse transtorno e hoje classificado dentre os transtornos do impulso e como tal ainda aguarda melhor caracterizacao psicopatologica. Em decorrencia da exploracao comercial do jogo, a expressao do jogo patologico deve aumentar na populacao, o que impoe a necessidade de superacao da atual falta de informacao e desconhecimento em relacao a esse diagnostico...