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The effects of temporal lobectomy in epileptic patients with psychosis

Published online by Cambridge University Press:  08 February 2018

E. A. Serafetinides
Affiliation:
Guy's-Maudsley Neuro-surgical Unit and the Maudsley Hospital, London, S.E.5
M. A. Falconer
Affiliation:
Guy's-Maudsley Neuro-surgical Unit and the Maudsley Hospital, London, S.E.5

Extract

The relationship in the same patient of epilepsy and psychosis is little understood. Although patients with temporal lobe epilepsy especially tend to show more psychiatric disturbances than do other epileptics, it is still not agreed whether an “epileptic psychosis” exists in its own right, any more than whether there is such an entity as the “epileptic personality”. The literature is full of contradictory statements and hypotheses. This is inevitable considering that epilepsy is a symptom-complex of diverse aetiology. However, within the total population of epileptics, it is possible to define groups with one or more common characteristics, e.g., similar pathology, localization, symptomatology, or inheritance. In studying the psychiatric manifestations it is probably better to try to relate them to such sub-groupings than to epileptics as a whole. The problem is of practical concern, for the incidence of epilepsy is between 0·4 and 0·5 per cent. of the general population (College of General Practitioners, 1960), while Pond and Bidwell (1959) in their survey of the practices of 14 family doctors pointed out that about a third of the epileptic patients had psychological difficulties.

Type
Neurosurgical
Copyright
Copyright © Royal College of Psychiatrists, 1962 

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References

Boudin, G., Lauras, A., and Masson, S. (1958). Sem. Hôp., Paris, 34, 1252.Google Scholar
Cavanagh, J. B., Falconer, M. A., and Meyer, A. (1958). “Some pathogenic problems of temporal lobe epilepsy”, in Temporal Lobe Epilepsy (Baldwin, and Bailey, , editors). Springfield, Ill.: Charles C. Thomas. p. 140.Google Scholar
College of General Practitioners (1960). Brit. med. J. ii, 416 Google Scholar
Cordier, J. (1958). Acta Neurol. Psychiat. Belg., 58, 95.Google Scholar
Dongier, S. (1959–60). Epilepsia, 1, 117.Google Scholar
Falconer, M. A., Hill, D., Meyer, A., Mitchell, W., and Pond, D. A. (1955). Lancet, i, 827.CrossRefGoogle Scholar
Hill, D. (1953). Med. Press, 20, 473.Google Scholar
Idem (1958). Proc. R. Soc. Med., 51, 610.Google Scholar
Idem , Pond, D. A., Mitchell, W., and Falconer, M. A. (1957). J. ment. Sci., 103, 18.Google Scholar
James, I. P. (1960). J. ment. Sci., 106, 543.Google Scholar
Liddell, D. W. (1953). Ibid., 99, 732.Google Scholar
Mitchell, W., Falconer, M. A., and Hill, D. (1954). Lancet, ii, 626.Google Scholar
Mulder, D. W., and Daly, D. (1952). J. Amer. med. Ass., 113, 1100.Google Scholar
Pond, D. A. (1957). J. Ind. med. Prof., 3, 1441.Google Scholar
Idem, and Bidwell, B. H. (1959–60). Epilepsia, 1, 285.Google Scholar
Weinstein, E. A. (1959). Amer. J. Psychiat., 116, 124.CrossRefGoogle Scholar
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