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2.
Artigo em Russo | MEDLINE | ID: mdl-2171267

RESUMO

As many as 99 patients with focal epilepsy were examined for recognition of the emotional-prosodic++ speech characteristics, non-vocal acoustic complexes, acoustic and acoustic vocal memory as well as for noise stability of the acoustic vocal system. The presence, character and intensity of psychopathological abnormalities identified in those patients were estimated at a time. The correlation and factorial analyses made it possible to discover the existence of significant relationships between the two lines of abnormalities. Several types of such relationships have been described. It is assumed that in some cases, disorders of impressive emotional psychoacoustic functions may represent one of the pathogenetic mechanisms of mental disorders associated with focal cortical epilepsy.


Assuntos
Emoções/fisiologia , Epilepsia do Lobo Temporal/fisiopatologia , Deficiência Intelectual/fisiopatologia , Transtornos do Humor/fisiopatologia , Transtornos Psicofisiológicos/fisiopatologia , Acústica da Fala , Percepção da Fala/fisiologia , Adolescente , Adulto , Criança , Epilepsia do Lobo Temporal/etiologia , Epilepsia do Lobo Temporal/psicologia , Humanos , Deficiência Intelectual/complicações , Deficiência Intelectual/psicologia , Pessoa de Meia-Idade , Transtornos do Humor/complicações , Transtornos do Humor/psicologia , Transtornos Psicofisiológicos/etiologia , Transtornos Psicofisiológicos/psicologia
3.
Artigo em Russo | MEDLINE | ID: mdl-3146195

RESUMO

The article reports data concerning 260 patients with epilepsy who were treated by different variants of operations on the open brain. The duration of the catamnesis ranged from 3 to 17 years. It is shown that the results of the treatment are determined by some initial data, in particular, the features of the psychopathological and neuropsychological disorders and their degree. Criteria of the selection of patients with epilepsy and mental disorders for surgical management are formulated.


Assuntos
Epilepsia/cirurgia , Transtornos Neurocognitivos/cirurgia , Transtornos da Personalidade/cirurgia , Adolescente , Adulto , Epilepsias Parciais/psicologia , Epilepsias Parciais/cirurgia , Epilepsia/psicologia , Epilepsia do Lobo Temporal/psicologia , Epilepsia do Lobo Temporal/cirurgia , Humanos , Transtornos Neurocognitivos/etiologia , Transtornos da Personalidade/etiologia , Escalas de Graduação Psiquiátrica , Fatores de Tempo , Avaliação da Capacidade de Trabalho
4.
Artigo em Russo | MEDLINE | ID: mdl-3673432

RESUMO

Comparison of the findings of neuropsychological examination with the EEG pattern, the results of psychopathological examination, and the character of the paroxysms showed the high informativeness of standardized neuropsychological diagnostic methods in determining the location of the dominant epileptic focus and predicting the outcomes of surgical treatment of patients with epilepsy as well as the transient character of possible disorders of high cortical functions caused by surgical interventions.


Assuntos
Epilepsia do Lobo Temporal/cirurgia , Testes Neuropsicológicos , Adolescente , Adulto , Criança , Epilepsia do Lobo Temporal/fisiopatologia , Epilepsia do Lobo Temporal/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Lobo Temporal/fisiopatologia , Lobo Temporal/cirurgia
5.
Artigo em Russo | MEDLINE | ID: mdl-3927641

RESUMO

Seventy-four patients with focal epilepsy were examined by means of a specially devised complex of experimental techniques. It was shown that epileptic involvement of the temporal lobes (in particular the anterior and mediobasal regions) of both hemispheres was associated with disorders of recognition of the emotional coloring of speech and non-speech sound complexes. Maximum disorders in the comparison of unorganized sound rows were observed when the right temporal lobe was involved, in the comparison of emotions when the left lobe was affected. Difficulties in recognizing melodies and emotions were observed in patients with temporal foci in the left and the right hemisphere but it was especially marked after surgery on the structures of the left temporal lobe. The degree of the disorders was primarily due to the severity of the organic damage of the brain rather than to the localization of the epileptic focus.


Assuntos
Transtornos da Percepção Auditiva/complicações , Emoções , Epilepsias Parciais/complicações , Transtornos da Percepção/complicações , Voz , Epilepsias Parciais/psicologia , Epilepsias Parciais/cirurgia , Epilepsia do Lobo Temporal/complicações , Feminino , Humanos , Masculino , Música , Percepção da Fala
6.
Artigo em Russo | MEDLINE | ID: mdl-404812

RESUMO

The author studied 346 patients with different forms of epilepsy among whom 200 were subjected to different operations in relation to an extraction of the epileptogenic foci. The data are concerned with clinico-psychopahtological variants of focal cortical epilepsy with a focus in the temporal, parietal, frontal, occipital lobes and the central zone, a description of relatively characteristic prevalent lesions in the dominant and subdominant hemisphere. In 146 nonoperated patients the author describes some traits of epilepsy in bilateral lesions of the temporal and parietal lobes. It is considered that the most significant conclusion concerning the localization, subordination and lateralization of epileptogenic foci may be made on the basis of a manifold examination of the mental state of the patient. However, the most important are signs which definitely correspond to the specificity of the lateralization of the gnostical functions.


Assuntos
Córtex Cerebral , Epilepsia/diagnóstico , Adolescente , Adulto , Córtex Cerebral/patologia , Criança , Pré-Escolar , Despersonalização , Transtornos Dissociativos , Dominância Cerebral , Epilepsias Parciais/diagnóstico , Epilepsia/patologia , Epilepsia/cirurgia , Epilepsia do Lobo Temporal/diagnóstico , Feminino , Lobo Frontal , Alucinações , Humanos , Masculino , Pessoa de Meia-Idade , Lobo Occipital , Personalidade , Psicopatologia , Síndrome
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