Emotional outbursts and post-traumatic stress disorder during intracarotid amobarbital procedure.
Severe emotional outbursts (SEOs) during intracarotid amobarbital procedures (IAP) rarely jeopardize preoperative language and memory testing. Four of four patients (100%) with outbursts had experienced significant emotional trauma (three were raped and one witnessed a decapitation), compared with 26 of 546 patients (4.8%) without outbursts (chi2 = 69.8, p < 0. 0001). Evocative injections were ipsilateral to seizure focus. IAP may disrupt emotional balance in some traumatized patients. Counseling may prevent SEOs.
Masia
S L
SL
NYU-Mt. Sinai Comprehensive Epilepsy Center, New York University School of Medicine, New York, NY 10016, USA.
Perrine
K
K
Westbrook
L
L
Alper
K
K
Devinsky
O
O
D000293:Adolescent; D000328:Adult; D000342:Affective Symptoms / Q000139:chemically induced / Q000209:etiology*; D000654:Amobarbital / Q000008:administration & dosage / Q000009:adverse effects*; D002339:Carotid Arteries; D004569:Electroencephalography; D004827:Epilepsy / Q000150:complications / Q000175:diagnosis*; D005260:Female; D007839:Functional Laterality; D006801:Humans; D007269:Injections, Intra-Arterial; D008297:Male; D008568:Memory / Q000187:drug effects; D013313:Stress Disorders, Post-Traumatic / Q000150:complications* / Q000523:psychology
D000654:Amobarbital