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KMID : 0377819920120030293
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Diagnosis and Treatment
1992 Volume.12 No. 3 p.293 ~ p.298
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INTERRICAL BEHAVIORAL SYNDROME IN TEMPORAL LOBE EPILEPSY
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이수정/Lee, Soo Jung
전양환/정염성/신경희/이광수/Chun, Yang Hwan/Chung, Yoem Sung/Shin, Kyeong Hee/Lee, Kwang Soo
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Abstract
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The authors report a case of a 31-year-old married female, who was admitted into the hospital with presenting symptoms of depressive mood, diurnal variation, sleep disturbance, religious preoccupation, delusion of sin, and suicidal ideation. She showed additional charcteristic symptoms of change in sexual function, hyper moralism, hypergraphia, and excessive clinging behavior. Her past history revealed that she had had many occaions of fits during which she had been partially conscious.
At the 12th day of hospitalization, she experienced two episodes of generalized seizure. electroencephalogram, rechecked at that time, showed intermittent delta activity with its maxi-mum in the anterior part of the brain. CAT scan of the brain did not show any abnormal finding. Since the epieptic attacks, her behavior had been vastly deteriorated. She was suffering from disturbed sleep, moral issues of `good and evil´ and unstable mood. She was claiming that her life had always beon so humble that she was destined to death.. She experienced a sort of formed visual hallucination. She was judged to be in a condition which was similar to the interictal behavior syndrome of temporal lobe epilepsy.
All the previous medication was stopped and carbamazepine was introduced to treat seizure, mood instability, and the psychotic symptoms. She was discharged in improvement at the 29th hospital day.
Interictal behavior syndrome of temporal lobe epilepsy is a dispositional metamorphosis in personality which is dominated by an in termittently discharging limbic focus. main clinical feature consists of hyposexuality, hyper-religiosity, hypergraphia, and hyperviscosity. This condition is considered to be somewhere in between two realms of neurology and psychiatry. Further documentation and survey of this entity will broaden the horizon of understanding of biological substrate of the mind and behavior.
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KEYWORD
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