Complete remission of epileptic psychosis after temporal lobectomy: case report
Arq. neuropsiquiatr
; 59(3B): 802-805, Sept. 2001. ilus
Article
em En
| LILACS
| ID: lil-295853
Biblioteca responsável:
BR1.1
RESUMO
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
Texto completo:
1
Índice:
LILACS
Assunto principal:
Transtornos Psicóticos
/
Lobo Temporal
/
Epilepsia do Lobo Temporal
Limite:
Female
/
Humans
Idioma:
En
Revista:
Arq. neuropsiquiatr
Assunto da revista:
NEUROLOGIA
/
PSIQUIATRIA
Ano de publicação:
2001
Tipo de documento:
Article