کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6009877 | 1579831 | 2016 | 5 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Psychoses in epilepsy: A comparison of postictal and interictal psychoses
ترجمه فارسی عنوان
روانپزشکی در صرع: مقایسهای روانپریشیهای مثبت و متقابل
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کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
علوم اعصاب رفتاری
چکیده انگلیسی
We retrospectively analyzed data of patients with epilepsy (n = 1434) evaluated with prolonged EEG monitoring in order to estimate the prevalence of postictal psychosis (PP) and interictal psychosis (IP), to investigate a potential association of psychosis subtype with epilepsy type, and to assess differences between PP and IP. The overall prevalence of psychosis was 5.9% (N = 85); prevalence of PP (N = 53) and IP (N = 32) was 3.7% and 2.2%, respectively. Of patients with psychosis, 97.6% had localization-related epilepsy (LRE). Prevalence of psychosis was highest (9.3%) in patients with temporal lobe epilepsy (TLE). When comparing PP with IP groups on demographic, clinical, and psychopathological variables, patients with IP were younger at occurrence of first psychosis (P = 0.048), had a shorter interval between epilepsy onset and first psychosis (P = 0.002), and more frequently exhibited schizophreniform traits (conceptual disorganization: P = 0.008; negative symptoms: P = 0.017) than those with PP. Postictal psychosis was significantly associated with a temporal seizure onset on ictal EEG (P = 0.000) and a higher incidence of violent behavior during psychosis (P = 0.047). To conclude, our results support the presumption of a preponderance of LRE in patients with psychosis and that of a specific association of TLE with psychosis, in particular with PP. Given the significant differences between groups, PP and IP may represent distinct clinical entities potentially with a different neurobiological background.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Epilepsy & Behavior - Volume 60, July 2016, Pages 58-62
Journal: Epilepsy & Behavior - Volume 60, July 2016, Pages 58-62
نویسندگان
Eva Hilger, Friedrich Zimprich, Ekaterina Pataraia, Susanne Aull-Watschinger, Rebekka Jung, Christoph Baumgartner, Silvia Bonelli,