THE DIAGNOSIS OF TEMPORAL EPILEPSY IN CHILD PSYCHIATRY: A REPORT OF 7 CASES
##plugins.themes.academic_pro.article.main##
Abstract
Aim : This paper attempts to describe the features of temporal epilepsy in patients firstly considered as having psychiatric disorders.
Methods: The cases of seven patients followed between 2005 and 2008 at the Child and Adolescent Psychiatry Department of Razi Hospital, aged 11 to 15 years are treated.
Results: All the patients showed complex partial seizures, and some of them showed secondarily generalized tonic-clonic seizures. Seizures were predominantly made of psychic symptoms (delusion, fear, aggressiveness) but also associated sensory, motor and vegetative features. In 5 cases, epilepsy was idiopathic, and
symptomatic of brain anomaly in 2 cases.
Conclusion: Careful attention must be paid to paroxystic symptoms in children.
Keywords:
Temporal epilepsy, child, adolescent, psychiatric features##plugins.themes.academic_pro.article.details##
References
- Berg AT. Classification des épilepsies : actuelle et future. Encyclopédie médico-chirurgicale 2003 ; 17-044-C-60.
- Dupont S. Epilepsies partielles symptomatiques. EMC neurologie. 2004 ; 17-044-O-10.
- Fogarasi A, Jokeit H, Faveret E, Janszky J, Tuxhorn I. The Effect of Age on Seizure Semiology in Childhood Temporal Lobe Epilepsy. Epilepsia, 2002; 43:638-643.
- Paradiso S, Hermann BP, Robinson RG. The heterogeneity of temporal lobe epilepsy. Neurology, neuropsychology, and psychiatry. J Nerv Ment Dis. 1995 ; 183:538-47.
- Sengoku A, Toichi M, Murai T. Dreamy states and psychoses in temporal lobe epilepsy: mediating role of affect. Psychiatry Clin Neurosci. 1997 Feb; 51:23-6.
- Kutlu G, Bilir E, Erdem A, Gomceli YB, Kurt GS, Serdaroglu A. Hush sign: A new clinical sign in temporal lobe epilepsy. Epilepsy & Behavior 2005; 6: 452-455.
- Ray A, Kotagal P. Temporal lobe epilepsy in children: overview of clinical semiology. Epileptic Disord 2005; 7: 299-307.
- Commission on classification terminology of the International League Against Epilepsy. Proposal for revisited clinical and electroencephalographic classification of epileptic seizures. Epilepsia 1981; 22: 489-501.
- Halayem M, Bouden A. Troubles majeurs du comportement et épilepsie: à propos de trois cas. La Semaine des hôpitaux de Paris 1995; 71 : 348-350.
- Onuma T. Classification of psychiatric symptoms in patients with epilepsy. Epilepsia. 2000; 41 (Suppl 9) : 43-8
- Bouden A, Denguezli I, Charfi F, Halayem MB. Epilepsy with affective symptomatology: three case reports. Tunis Med. 2002; 80: 345-8.
- Olbrich A, Urak L, Gröppel G, Sarles W, Novak K, Porsche B, Benninger F, Czech T, Baumgartner C, Feucht M. Semiology of temporal lobe epilepsy in children and adolescents value in lateralizing the seizure onset zone. Epilepsy Reseaech 2002; 48:103-110.
- Oner O, Unal O, Deda G. A case of psychosis with temporal lobe epilepsy: SPECT changes with treatment. Pediatr neurol 2005; 32: 197-200.
- Jansky J, Fogarasi A, Toth V, Magalova V, Gyimesi C, Kovacs N, Schultz R, Ebner A. Per-ictal vegetative symptoms in temporal lobe epilepsy. Epilepsy and Behavior 2007; 11: 125-129.
- Shukla G, Singh S, Goyal V, Gaikwad S, Srivastave A,Bas CS, Gupta A, Behari M. Prolonged preictal psychosis in refractory seizures: a report of three cases. Epilepsy and behaviour 2008, doi:10.1016/j.yebeh.2007.11.009 article in press
- Bourgeois BFD. Temporal lobe epilepsy in infants and children. Brain & Development 1998; 20: 135-141.
- Glosser G, Zwil AS, Glosser DS, O'Connor MJ, Sperling MR. Psychiatric aspects of temporal lobe epilepsy before and after anterior temporal lobectomy. J Neurol Neurosurg Psychiatry 2000; 68: 53-58.