雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Intermittent Explosive Disorder after Epilepsy Surgery for Mesial Temporal Lobe Epilepsy Ken WADA 1,2 , Norihito YAMADA 2 , Hiroshi SUZUKI 2 , Shigetoshi KURODA 2 , Hideo ENOKI 3 , Iori OHMORI 3 , Yoshiaki MAYANAGI 4 1Department of Psychiatry, Hiroshima City Hospital 2Department of Neuropsychiatry, Okayama University Graduate School of Medicine and Dentistry 3Department of Child Neurology, Okayama University Graduate School of Medicine and Dentistry 4Department of Neurosurgery, Tokyo Metropolitan Police Hospital Keyword: Epilepsy surgery , Intermittent explosive disorder , Aggression pp.947-953
Published Date 2004/9/15
DOI https://doi.org/10.11477/mf.1405100547
  • Abstract
  • Look Inside

Summary

 Although some organic brain syndromes are associated with intermittent explosive disorder, there have been no reports of epilepsy patients who have developed this disorder after temporal lobectomy. We conducted a descriptive analysis of two patients in whom intermittent explosive disorder developed after surgical treatment for mesial temporal lobe epilepsy. Despite a favorable outcome with regard to seizure control, these patients developed severe aggression and impulsiveness that was shown only to their family members. These symptoms gradually stabilized as a result of pharmacotherapy and psychosocial support. Amygdalohippocampectomy, a surgical procedure that ameliorates mesial temporal lobe epilepsy, may result in an imbalance in the neural networks involved in emotional control. We suggest that during the postoperative period clinical attention should be paid to the patient's psychosocial difficulties as well as to seizure control.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院

関連文献

もっと見る

文献を共有