Post-ictal psychosis after right temporal lobectomy. | Zendy

Rahul Manchanda | Zendy; Harry W. Miller | Zendy; Richard S. McLachlan | Zendy

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Post-ictal psychosis after right temporal lobectomy.

Author(s) -

Rahul Manchanda,

Harry W. Miller,

Richard S. McLachlan

Publication year - 1993

Publication title -

journal of neurology neurosurgery and psychiatry

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.391

H-Index - 206

eISSN - 1468-330X

pISSN - 0022-3050

DOI - 10.1136/jnnp.56.3.277

Subject(s) - ictal , psychosis , epilepsy , temporal lobectomy , epilepsy surgery , complex partial seizures , psychology , anterior temporal lobectomy , medicine , psychiatry , anesthesia , pediatrics , temporal lobe

Of 298 patients who had temporal lobectomies for intractable epilepsy, 4 (1.3%) developed post-ictal psychosis for the first time after surgery. All were males of normal intelligence with no pre-operative psychiatric disorder. Psychosis followed both complex partial and generalised seizures. The psychotic symptoms showed polymorphic features. Right temporal lobectomy may increase the susceptibility to post-ictal psychosis in patients who are not seizure free after surgery, particularly in the first post-operative year.

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