CHILDHOOD OBSESSIVE-COMPULSIVE DISORDER AND CINGULATE EPILEPSY

CHILDHOOD OBSESSIVE-COMPULSIVE DISORDER AND CINGULATE EPILEPSY
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DOI:
10.1016/0006-3223(91)90124-5
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发表时间:
1991-11-15
影响因子:
10.6
通讯作者:
DUCHOWNY, M
DUCHOWNY, M
中科院分区:
医学1区
文献类型:
--
作者:
LEVIN, B;DUCHOWNY, M

文献摘要

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目前尚无关于强迫症与儿童期扣带回癫痫之间关联的报道。 我们报告了一名患有医学抵抗性癫痫发作和严重强迫症状的年轻女孩的行为、认知和脑电图检查结果。 她的头皮脑电图和神经心理学测试分数表明右额叶功能障碍。 她的癫痫发作的顽固性以及智力和心理的逐渐恶化促使她对切除手术进行了评估。 颅内脑电图记录显示局灶性癫痫发作起源于右前扣带回。 扣带回切开术使她摆脱了癫痫发作,并显着改善了她的强迫症状。
There are no reports of an association between obsessive-compulsive disorder and cingulate epilepsy in childhood. We report the behavioral, cognitive, and EEG findings in a young girl with medically resistant seizures and severe obsessive-compulsive symptomatology. Her scalp EEG and neuropsychological test scores suggested right frontal lobe dysfunction. The intractability of her seizures and progressive intellectual and psychosocial deterioration prompted evaluation for excisional surgery. Intracranial EEG recording demonstrated a focal seizure origin in the right anterior cingulate gyrus. Cingulotomy resulted in freedom from seizures and significant improvement in her obsessive-compulsive symptoms.