title: Postoperative psychoses in epileptic patients after temporal lobectomy.
abstract: BACKGROUND
  Psychosis is the most severe psychiatric complication after epilepsy surgery.
  
  
  METHODS
  We evaluated postoperatively at 1 year the psychoses of a series of 57 adult patients with intractable epilepsy who underwent temporal lobe surgery.
  
  
  RESULTS
  Five patients (8.8%) developed postoperative psychosis. Two (3.5%) of these 5 revealed postictal psychotic episodes in connection with persisting seizures, both of them had had similar episodes even preoperatively. Two patients (3.5%) exhibited a definite and one patient (1.8%) a probable de novo schizophrenia.
  
  
  CONCLUSIONS
  Our findings clearly emphasize the need for careful postoperative psychiatric follow-up for patients with temporal lobectomy.
authors.affiliation: Department of Neuropsychiatry, Vaajasalo, Hospital Kuopio, Finland.
authors.forename: E
authors.initials: E
authors.lastname: Leinonen
authors.forename: A
authors.initials: A
authors.lastname: Tuunainen
authors.forename: U
authors.initials: U
authors.lastname: Lepola
mesh_terms: D000328:Adult; D004292:Dominance, Cerebral / Q000502:physiology; D004833:Epilepsy, Temporal Lobe / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019965:Neurocognitive Disorders / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D011612:Psychosurgery; D012559:Schizophrenia / Q000175:diagnosis / Q000503:physiopathology; D012565:Schizophrenic Psychology; D013702:Temporal Lobe / Q000503:physiopathology / Q000601:surgery*