Post-ictal psychosis after right temporal lobectomy.
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.
Manchanda
R
R
Department of Psychiatry, University of Western Ontario, London, Canada.
Miller
H
H
McLachlan
R S
RS
D000328:Adult; D003702:Delusions / Q000503:physiopathology / Q000523:psychology; D003866:Depressive Disorder / Q000503:physiopathology / Q000523:psychology; D004292:Dominance, Cerebral / Q000502:physiology*; D004569:Electroencephalography; D004833:Epilepsy, Temporal Lobe / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D005071:Evoked Potentials / Q000502:physiology; D006212:Hallucinations / Q000503:physiopathology / Q000523:psychology; D006801:Humans; D008297:Male; D019965:Neurocognitive Disorders / Q000503:physiopathology* / Q000523:psychology; D009483:Neuropsychological Tests; D011183:Postoperative Complications / Q000503:physiopathology* / Q000523:psychology; D011612:Psychosurgery; D013702:Temporal Lobe / Q000503:physiopathology / Q000601:surgery*