Postoperative psychoses in epileptic patients after temporal lobectomy |
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Authors: | E. Leinonen A. Tuunainen U. Lepola |
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Affiliation: | Departments of Neuropsychiatry, Vaajasalo, Hospital Kuopio, Finland;Departments of Clinical Neurophysiology, Vaajasalo, Hospital Kuopio, Finland |
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Abstract: | Introduction – Psychosis is the most severe psychiatric complication after epilepsy surgery. Patients and methods – We evaluated postoperatively at 1 year the psychoses of a series of 57 adult patients with intractable epilepsy who underwent temporal lobe surgery. Results – Five patients (8.8%) developed postoperative psychosis. Two (3.5%) of these 5 revealed postictal psychotic episodes in connection with persisting seizures, both of them had had similar episodes even preoperatively. Two patients (3.5%) exhibited a definite and one patient (1.8%) a probable de novo schizophrenia. Conclusion – Our findings clearly emphasize the need for careful postoperative psychiatric follow-up for patients with temporal lobectomy. |
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Keywords: | Key words: psychosis temporal lobe surgery epilepsy |
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