title: Emotional outbursts and post-traumatic stress disorder during intracarotid amobarbital procedure.
abstract: 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.
authors.affiliation: NYU-Mt. Sinai Comprehensive Epilepsy Center, New York University School of Medicine, New York, NY 10016, USA.
authors.forename: S L
authors.initials: SL
authors.lastname: Masia
authors.forename: K
authors.initials: K
authors.lastname: Perrine
authors.forename: L
authors.initials: L
authors.lastname: Westbrook
authors.forename: K
authors.initials: K
authors.lastname: Alper
authors.forename: O
authors.initials: O
authors.lastname: Devinsky
mesh_terms: 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
chemical_list: D000654:Amobarbital