Emotional outbursts and post-traumatic stress disorder during intracarotid amobarbital procedure

被引:20
|
作者
Masia, SL [1 ]
Perrine, K [1 ]
Westbrook, L [1 ]
Alper, K [1 ]
Devinsky, O [1 ]
机构
[1] NYU, Mt Sinai Comprehens Epilepsy Ctr, Sch Med, New York, NY 10016 USA
关键词
Wada procedure; post-traumatic stress disorder; emotion; epilepsy; valence hypothesis;
D O I
10.1212/WNL.54.8.1691
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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 (chi(2) = 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.
引用
收藏
页码:1691 / 1693
页数:3
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