POST-ICTAL PSYCHOSES - A CLINICAL AND PHENOMENOLOGICAL DESCRIPTION

POST-ICTAL PSYCHOSES - A CLINICAL AND PHENOMENOLOGICAL DESCRIPTION
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DOI:
10.1192/bjp.152.2.246
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发表时间:
1988-02-01
影响因子:
10.5
通讯作者:
TOONE, BK
TOONE, BK
中科院分区:
医学1区
文献类型:
--
作者:
LOGSDAIL, SJ;TOONE, BK

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到目前为止,发作后精神病患者几乎没有受到关注。根据新制定的诊断标准对14例患者的临床资料进行分析。精神病通常是由一连串的癫痫发作引起的,并在清醒一段时间后发生。11例为部分性发作伴二次泛发性发作。对当前国家审查的范畴分析证实了多形性现象学。所有病例的后续细节都可获得,最长可达八年。精神病患者往往会复发。讨论了与慢性癫痫精神病的相似之处,并提出了发作后精神病的可能的器质性病因。
Post-ictal psychoses have so far received little attention. The clinical details of 14 cases, diagnosed according to newly formulated criteria, were examined. Psychoses were usually precipitated by a run of seizures and occurred after a lucid interval. The seizures were partial complex with secondary generalisation in 11 cases. Catego analysis of the Present State examination confirmed pleomorphic phenomenology. Follow-up details were available in all cases, for up to eight years. Psychoses tended to recur. Similarities with chronic epileptic psychosis are discussed, and possible organic aetiology for post-ictal psychosis is proposed.