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Psychiatric Manifestations in Temporal Lobe Epilepsy: A Controlled Study

Published online by Cambridge University Press:  29 January 2018

G. D. Shukla ,
O. N. Srivastava ,
B. C. Katiyar ,
V. Joshi  and
P. K. Mohan
G. D. Shukla
Affiliation:
M.L.B. Medical College, Jhansi (U.P.), India
O. N. Srivastava
Affiliation:
Department of Psychiatry, Institute of Medical Sciences, Banaras Hindu University, Varanasi (U.P.), India
B. C. Katiyar
Affiliation:
Institute of Medical Sciences, Banaras Hindu University, Varanasi (U.P.), India
V. Joshi
Affiliation:
B 27/85, Durga Kund, Varanasi (U.P.), India
P. K. Mohan
Affiliation:
All India Institute of Medical Sciences, New Delhi, India
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Summary

Psychiatric disorder was studied in 62 patients with temporal lobe epilepsy (study group) and 70 patients with grand mal epilepsy (control group), both diagnosed electroencephalographically. The two groups were similar as regards age, sex, socio-economic status, duration and frequency of fits, family history and premorbid personality.

A significantly greater number of temporal lobe epileptics had emotional disturbances in childhood and psychiatric abnormalities at the time of study. Neuroses, schizophrenia and behaviour disorder occurred more commonly in the study group, while epileptic personality and confusional psychosis were seen more frequently in the controls.

The findings of the study are discussed in the light of relevant literature.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 135 , Issue 5 , November 1979 , pp. 411 - 417
Copyright
Copyright © Royal College of Psychiatrists, 1979 

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References

Abdul Gafoor, P. K. & Santha Kumar, S. (1974) Psychiatric aspects of epilepsy—a study of 2,000 cases. The Kerala Journal of Psychiatry, 2, 55–60.Google Scholar
Agnihotri, B. R., Teja, J. S., Prabhu, G. G. & Virmani, V. (1972) A study of psychiatric, psychological and social disturbances in epileptics. Indian Journal of Psychiatry, 14, 171–82.Google Scholar
Aird, R. B., Venturini, A. M. & Spielman, P. M. (1967) Antecedents of temporal lobe epilepsy. Archives of Neurology, 16, 67–73.CrossRefGoogle ScholarPubMed
American Psychiatric Association (1968) Diagnostic and Statistical Manual (D.S.M.–II). Washington: American Psychiatric Association.Google Scholar
Bagadia, V. N., Jeste, D. V., Charegaonkar, A. S., Pradham, P. V. & Shah, L. P. (1973) Psychological study of 180 cases of epilepsy. Indian Journal of Psychiatry, 15, 391–401.Google Scholar
Betts, T. A. (1972) Psychosomatic aspects of epilepsy. Practitioner, 209, 574–82.Google ScholarPubMed
Bingley, T. (1958) Mental symptoms in temporal lobe epilepsy and temporal lobe gliomas. Acta Psychiatrica et Neurologica, 33 (Supplement 120), 1–151.Google Scholar
Bradley, C. (1951) Behaviour disorders in epileptic children. Journal of American Medical Association, 146, 436–41.CrossRefGoogle ScholarPubMed
Bray, P. F. (1962) Temporal lobe syndrome in children: a longitudinal review. Paediatrics, 29, 617–28.Google Scholar
Bruens, J. H. (1971) Psychosis in epilepsy. Psychiatria Neurologia and Neurochirurgia, 74, 175–92.Google Scholar
Currie, S., Heathfield, K. W. G., Henson, R. A. & Scott, D. F. (1971) Clinical course and prognosis of temporal lobe epilepsy. Brain, 94, 173–90.Google Scholar
Dominian, J., Serafetinides, E. A. & Dewhurst, M. (1963) A follow up study of late onset epilepsy—2: psychiatric aspects. British Medical Journal, i, 431–35.Google Scholar
Dongier, S. (1960) Statistical study of clinical and electroencephalographic manifestations of 536 psychotic episodes occurring in 516 epileptics between clinical seizures. Epilepsia, 1, 117–42.Google Scholar
Driver, M. V. (1970) Electroencephalography and the diagnosis of temporal lobe disease. In Modern Trends in Psychological Medicine—2 (ed. Price, J. H.). London: Butterworths.Google Scholar
Ervin, F., Epistein, A. W. & King, H. E. (1955) Behaviour of epileptic and non-epileptic patients with temporal spikes. Archives of Neurology and Psychiatry, 74, 488–97.Google Scholar
Ervin, F. R. (1967) Brain disorders associated with convulsions. In Comprehensive Textbook of Psychiatry (ed. Freedman, A. M. and Kapalan, H. I.). Baltimore: Williams and Wilkins.Google Scholar
Flor-Henry, P. (1969a) Schizophrenia like reactions and affective psychosis associated with temporal lobe epilepsy: aetiological factors. American Journal of Psychiatry, 126, 400–4.Google Scholar
Flor-Henry, P. (1969b) Psychosis and temporal lobe epilepsy, a controlled investigation. Epilepsia, 10, 363–95.Google Scholar
Flor-Henry, P. (1972) Ictal and inter-ictal psychiatric manifestations in epilepsy, specific or non-specific? A critical review of some of the evidence. Epilepsia, 13, 773–83.CrossRefGoogle ScholarPubMed
Flor-Henry, P. (1974) Psychosis, neurosis and epilepsy. British Journal of Psychiatry, 124, 144–50.Google Scholar
Gibbs, E. L., Gibbs, F. A. & Fuster, B. (1948) Psychomotor epilepsy. Archives of Neurology and Psychiatry, 60, 331–9.Google Scholar
Glaser, G. H. (1964) The problem of psychotic behaviour in temporal lobe epilepsy. Epilepsia, 5, 271–8.Google Scholar
Graham, P. & Rutter, M. (1968) Organic brain dysfunction and child psychiatric disorders. British Medical Journal, iii, 695–700.Google Scholar
Guerrant, J., Anderson, W. W., Fischer, A., Weinstein, M. R., Jaros, R. M. & Deskins, A. (1962) Personality in Epilepsy. Springfield, Illinois: Charles C. Thomas.Google Scholar
Juul-Jensen, P. (1964) Epilepsy: a clinical and social analysis of 1,020 adult patients with epileptic seizures. Acta Neurologica Scandinavica, 40 (Supplement 15), 1–148.Google Scholar
Kanaka, T. S., Balasubramaniam, V. & Ramamurthi, B. (1967) Mental changes in epilepsy. Neurology India, 15, 116–17.Google ScholarPubMed
Keating, L. E. (1961) Epilepsy and behaviour disorder in school children. Journal of Mental Science, 107, 161–80.Google Scholar
Kesseler, M. M., Halle, L., Evans, M. W. & Shelton, W. R. (1952) Psychogenic motor phenomena in presence of an abnormal EEG. Journal of Nervous and Mental Diseases, 116, 1–18.CrossRefGoogle Scholar
Liddell, D. W. (1953) Observations on epileptic automatisms in a mental hospital population. Journal of Mental Science, 99, 732–48.CrossRefGoogle Scholar
Mirsky, A. F., Primac, D. W., Ajmone Marson, C., Rosvold, H. E. & Stevens, J. R. (1960) A comparison of the psychological test performances of patients with focal and non-focal epilepsy. Experimental Neurology, 2, 75–89.Google Scholar
Mulder, D. W. & Daly, D. (1952) Psychiatric symptoms associated with lesions of temporal lobe. Journal of American Medical Association, 150, 173–6.CrossRefGoogle ScholarPubMed
Nuffield, E. J. A. (1961) Neurophysiology and behaviour disorders in epileptic children. Journal of Mental Science, 107, 438–58.CrossRefGoogle ScholarPubMed
Ounsted, C. (1955) The hyperkinetic syndrome in epileptic children. Lancet, ii, 303–11.Google Scholar
Pond, D. A. (1952) Psychiatric aspects of epilepsy in children. Journal of Mental Science, 98, 404–10.Google Scholar
Pond, D. A. & Bidwell, B. H. (1960) A survey of epilepsy in fourteen general practices—II (Social and psychiatric aspects). Epilepsia, 1, 285–99.Google Scholar
Preston, D. W. & Atack, E. A. (1964) Temporal lobe epilepsy: a clinical study of 47 cases. Canadian Medical Association Journal, 91, 1256–9.Google ScholarPubMed
Ramesh, C. K., Mani, A. J., Mruthyunjayanna, B. P. & Mani, K. S. (1974) Hysterical seizures associated with genuine epilepsy. Neurology India, 22, 35–8.Google Scholar
Reynolds, E. H. (1967) Schizophrenia-like psychosis of epilepsy and disturbance of folate and vitamin B12 metabolism induced by anticonvulsant drugs. British Journal of Psychiatry, 113, 911–19.Google Scholar
Reynolds, E. H. (1968) Epilepsy and schizophrenia; relationship and biochemistry. Lancet, i, 398–401.Google Scholar
Rodin, E. A., Dejong, R. N., Waggoner, W. R. & Bagchi, B. K. (1957) Relationship between certain forms of psychomotor epilepsy and schizophrenia. Archives of Neurology and Psychiatry, 77, 449–63.Google ScholarPubMed
Slater, E., Beard, A. W. & Glithero, E. (1963) The schizophrenia-like psychosis of epilepsy. British Journal of Psychiatry, 109, 95–150.CrossRefGoogle Scholar
Slater, E. & Roth, M. (1969) Clinical Psychiatry. London: Bailliere, Tindall and Cassell.Google Scholar
Small, J., Milstein, V. & Stevens, J. R. (1962) Arc psychomotor epileptics different? A controlled study. Archives of Neurology, 7, 187–94.CrossRefGoogle Scholar
Small, J. G., Small, I. F. & Hayden, M. P. (1966) Further psychiatric investigations in patients with temporal and non-temporal lobe epilepsy. American Journal of Psychiatry, 123, 303–10.Google Scholar
Solomon, S. (1967) The neurological evaluation. In Comprehensive Text Book of Psychiatry (ed. Freedman, A. M. and Kapalan, H. I.). Baltimore: Williams and Wilkins.Google Scholar
Standage, K. F. (1973) Schizophreniform psychosis among epileptics in a mental hospital. British Journal of Psychiatry, 123, 231–2.Google Scholar
Stevens, J. R. (1966) Psychiatric implications of psychomotor epilepsy. Archives of General Psychiatry, 14, 461–71.CrossRefGoogle ScholarPubMed
Stevens, J. R. (1973) Psychomotor epilepsy and schizophrenia: a common anatomy? In Epilepsy—Its Phenomena in Man (ed. Brazier, M. A. B.). New York: Academic Press.Google Scholar
Taylor, D. C. & Falconer, M. A. (1968) Clinical, socio-economic and psychological changes after temporal lobectomy for epilepsy. British Journal of Psychiatry, 114, 1247–61.CrossRefGoogle ScholarPubMed
Taylor, D. C. (1972) Mental state and temporal lobe epilepsy: a correlative account of 100 patients treated surgically. Epilepsia, 13, 727–65.Google Scholar
Tizard, B. (1962) The personality of epileptics: a discussion of evidence. Psychological Bulletin, 59, 196–210.Google Scholar
Treffert, D. A. (1964) The psychiatric patient and temporal lobe focus. American Journal of Psychiatry, 120, 765–71.Google Scholar
Virmani, V. & Sawhney, B. B. (1966) Inter-ictal psychiatric disturbances in psychomotor seizures. Neurology India, 14, 200–3.Google Scholar
Vislie, H. & Henrikson, G. F. (1958) Psychiatric disturbances in epilepsy. In Lectures in Epilepsy (ed. Lorentz De Hass, A. M.). Amsterdam: Elsevier Publishing Co.Google Scholar
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