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Acute Psychosis During Intracranial EEG Monitoring: Close Relationship Between Psychotic Symptoms and Discharges in Amygdala
Purpose: This report examined the underlying mechanism of psychosis associated with epilepsy. Methods: An adult patient with epilepsy manifesting acute psychosis during long‐term EEG monitoring is presented, together with a literature review on this subject. Results: A 25‐year‐old woman with intract...
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| Published in: | Epilepsia (Copenhagen) 2001-06, Vol.42 (6), p.719-724 |
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| container_issue | 6 |
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| container_title | Epilepsia (Copenhagen) |
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| creator | Takeda, Youji Inoue, Yushi Tottori, Takayasu Mihara, Tadahiro |
| description | Purpose: This report examined the underlying mechanism of psychosis associated with epilepsy.
Methods: An adult patient with epilepsy manifesting acute psychosis during long‐term EEG monitoring is presented, together with a literature review on this subject.
Results: A 25‐year‐old woman with intractable temporal lobe epilepsy developed acute psychosis while she underwent long‐term intracranial EEG monitoring. After a clustering of seizures, she manifested psychotic symptoms including hallucination, stupor, and repeated fear. The transition of psychotic symptoms corresponded to the changes in frequency and morphology of seizure discharges restricted to the left amygdala. Improvement of psychosis coincided with disappearance of seizure discharges.
Conclusions: This case confirmed a close relationship between psychotic symptoms and seizure discharges in the left amygdala. It is suggested that paroxysmal bombardment of the medial temporal lobe structure may be a pathogenetic factor of acute psychosis associated with epilepsy. |
| doi_str_mv | 10.1046/j.1528-1157.2001.08700.x |
| format | article |
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Methods: An adult patient with epilepsy manifesting acute psychosis during long‐term EEG monitoring is presented, together with a literature review on this subject.
Results: A 25‐year‐old woman with intractable temporal lobe epilepsy developed acute psychosis while she underwent long‐term intracranial EEG monitoring. After a clustering of seizures, she manifested psychotic symptoms including hallucination, stupor, and repeated fear. The transition of psychotic symptoms corresponded to the changes in frequency and morphology of seizure discharges restricted to the left amygdala. Improvement of psychosis coincided with disappearance of seizure discharges.
Conclusions: This case confirmed a close relationship between psychotic symptoms and seizure discharges in the left amygdala. It is suggested that paroxysmal bombardment of the medial temporal lobe structure may be a pathogenetic factor of acute psychosis associated with epilepsy.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1046/j.1528-1157.2001.08700.x</identifier><identifier>PMID: 11422325</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>Boston, MA, USA: Blackwell Science Inc</publisher><subject>Acute Disease ; Adult ; Amygdala ; Amygdala - physiopathology ; Biological and medical sciences ; Comorbidity ; Electrodes, Implanted ; Electroencephalography - methods ; Electroencephalography - statistics & numerical data ; Epilepsy, Temporal Lobe - diagnosis ; Epilepsy, Temporal Lobe - epidemiology ; Epilepsy, Temporal Lobe - physiopathology ; Female ; Functional Laterality - physiology ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Intracranial EEG ; Medical sciences ; Monitoring, Physiologic - methods ; Monitoring, Physiologic - statistics & numerical data ; Nervous system (semeiology, syndromes) ; Neurology ; Postictal psychosis ; Psychotic Disorders - diagnosis ; Psychotic Disorders - epidemiology ; Psychotic Disorders - physiopathology ; Temporal Lobe - physiopathology ; Temporal lobe epilepsy</subject><ispartof>Epilepsia (Copenhagen), 2001-06, Vol.42 (6), p.719-724</ispartof><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4610-fad88fa12905179ee1ee2133a7b1356bf32b885e5a7f6b71320812c89240726b3</citedby><cites>FETCH-LOGICAL-c4610-fad88fa12905179ee1ee2133a7b1356bf32b885e5a7f6b71320812c89240726b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1029456$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11422325$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takeda, Youji</creatorcontrib><creatorcontrib>Inoue, Yushi</creatorcontrib><creatorcontrib>Tottori, Takayasu</creatorcontrib><creatorcontrib>Mihara, Tadahiro</creatorcontrib><title>Acute Psychosis During Intracranial EEG Monitoring: Close Relationship Between Psychotic Symptoms and Discharges in Amygdala</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Purpose: This report examined the underlying mechanism of psychosis associated with epilepsy.
Methods: An adult patient with epilepsy manifesting acute psychosis during long‐term EEG monitoring is presented, together with a literature review on this subject.
Results: A 25‐year‐old woman with intractable temporal lobe epilepsy developed acute psychosis while she underwent long‐term intracranial EEG monitoring. After a clustering of seizures, she manifested psychotic symptoms including hallucination, stupor, and repeated fear. The transition of psychotic symptoms corresponded to the changes in frequency and morphology of seizure discharges restricted to the left amygdala. Improvement of psychosis coincided with disappearance of seizure discharges.
Conclusions: This case confirmed a close relationship between psychotic symptoms and seizure discharges in the left amygdala. It is suggested that paroxysmal bombardment of the medial temporal lobe structure may be a pathogenetic factor of acute psychosis associated with epilepsy.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Amygdala</subject><subject>Amygdala - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Comorbidity</subject><subject>Electrodes, Implanted</subject><subject>Electroencephalography - methods</subject><subject>Electroencephalography - statistics & numerical data</subject><subject>Epilepsy, Temporal Lobe - diagnosis</subject><subject>Epilepsy, Temporal Lobe - epidemiology</subject><subject>Epilepsy, Temporal Lobe - physiopathology</subject><subject>Female</subject><subject>Functional Laterality - physiology</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Intracranial EEG</subject><subject>Medical sciences</subject><subject>Monitoring, Physiologic - methods</subject><subject>Monitoring, Physiologic - statistics & numerical data</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Postictal psychosis</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - epidemiology</subject><subject>Psychotic Disorders - physiopathology</subject><subject>Temporal Lobe - physiopathology</subject><subject>Temporal lobe epilepsy</subject><issn>0013-9580</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNqNkF9v0zAUxS0EYqXjKyA_IN4S_CeOHR6QSldGpaFNsD1bjnvTukriYifaIvHhSdZI8MjTvdI5556rH0KYkpSSLP94TKlgKqFUyJQRQlOiJCHp0wu0mIVcvkSLUeFJIRS5QG9iPBJCZC75a3RBacYYZ2KBfq9s3wG-i4M9-OgivuqDa_d423bB2GBaZ2q82Vzj7751nZ-0T3hd-wj4B9Smc76NB3fCX6B7BGjnQ52z-OfQnDrfRGzaHb5y0R5M2EPErsWrZtjvTG0u0avK1BHeznOJHr5u7tffkpvb6-16dZPYLKckqcxOqcpQVhBBZQFAARjl3MiScpGXFWelUgKEkVVeSsoZUZRZVbCMSJaXfIk-nO-egv_VQ-x0M_4DdW1a8H3UkhRZUYzBJVJnow0-xgCVPgXXmDBoSvREXh_1BFhP5PVEXj-T109j9N3c0ZcN7P4GZ9Sj4f1sMNGauhrZWhf_KWBFJvLR9vlse3Q1DP_drzd32-eV_wEDTp8c</recordid><startdate>200106</startdate><enddate>200106</enddate><creator>Takeda, Youji</creator><creator>Inoue, Yushi</creator><creator>Tottori, Takayasu</creator><creator>Mihara, Tadahiro</creator><general>Blackwell Science Inc</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200106</creationdate><title>Acute Psychosis During Intracranial EEG Monitoring: Close Relationship Between Psychotic Symptoms and Discharges in Amygdala</title><author>Takeda, Youji ; Inoue, Yushi ; Tottori, Takayasu ; Mihara, Tadahiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4610-fad88fa12905179ee1ee2133a7b1356bf32b885e5a7f6b71320812c89240726b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Amygdala</topic><topic>Amygdala - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Comorbidity</topic><topic>Electrodes, Implanted</topic><topic>Electroencephalography - methods</topic><topic>Electroencephalography - statistics & numerical data</topic><topic>Epilepsy, Temporal Lobe - diagnosis</topic><topic>Epilepsy, Temporal Lobe - epidemiology</topic><topic>Epilepsy, Temporal Lobe - physiopathology</topic><topic>Female</topic><topic>Functional Laterality - physiology</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Intracranial EEG</topic><topic>Medical sciences</topic><topic>Monitoring, Physiologic - methods</topic><topic>Monitoring, Physiologic - statistics & numerical data</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Postictal psychosis</topic><topic>Psychotic Disorders - diagnosis</topic><topic>Psychotic Disorders - epidemiology</topic><topic>Psychotic Disorders - physiopathology</topic><topic>Temporal Lobe - physiopathology</topic><topic>Temporal lobe epilepsy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takeda, Youji</creatorcontrib><creatorcontrib>Inoue, Yushi</creatorcontrib><creatorcontrib>Tottori, Takayasu</creatorcontrib><creatorcontrib>Mihara, Tadahiro</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takeda, Youji</au><au>Inoue, Yushi</au><au>Tottori, Takayasu</au><au>Mihara, Tadahiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Psychosis During Intracranial EEG Monitoring: Close Relationship Between Psychotic Symptoms and Discharges in Amygdala</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2001-06</date><risdate>2001</risdate><volume>42</volume><issue>6</issue><spage>719</spage><epage>724</epage><pages>719-724</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Purpose: This report examined the underlying mechanism of psychosis associated with epilepsy.
Methods: An adult patient with epilepsy manifesting acute psychosis during long‐term EEG monitoring is presented, together with a literature review on this subject.
Results: A 25‐year‐old woman with intractable temporal lobe epilepsy developed acute psychosis while she underwent long‐term intracranial EEG monitoring. After a clustering of seizures, she manifested psychotic symptoms including hallucination, stupor, and repeated fear. The transition of psychotic symptoms corresponded to the changes in frequency and morphology of seizure discharges restricted to the left amygdala. Improvement of psychosis coincided with disappearance of seizure discharges.
Conclusions: This case confirmed a close relationship between psychotic symptoms and seizure discharges in the left amygdala. It is suggested that paroxysmal bombardment of the medial temporal lobe structure may be a pathogenetic factor of acute psychosis associated with epilepsy.</abstract><cop>Boston, MA, USA</cop><pub>Blackwell Science Inc</pub><pmid>11422325</pmid><doi>10.1046/j.1528-1157.2001.08700.x</doi><tpages>6</tpages></addata></record> |
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| subjects | Acute Disease Adult Amygdala Amygdala - physiopathology Biological and medical sciences Comorbidity Electrodes, Implanted Electroencephalography - methods Electroencephalography - statistics & numerical data Epilepsy, Temporal Lobe - diagnosis Epilepsy, Temporal Lobe - epidemiology Epilepsy, Temporal Lobe - physiopathology Female Functional Laterality - physiology Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Intracranial EEG Medical sciences Monitoring, Physiologic - methods Monitoring, Physiologic - statistics & numerical data Nervous system (semeiology, syndromes) Neurology Postictal psychosis Psychotic Disorders - diagnosis Psychotic Disorders - epidemiology Psychotic Disorders - physiopathology Temporal Lobe - physiopathology Temporal lobe epilepsy |
| title | Acute Psychosis During Intracranial EEG Monitoring: Close Relationship Between Psychotic Symptoms and Discharges in Amygdala |
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