てんかんと精神病-精神症状とその発症にかかわる因子の検討-
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A clinical study of psychoses in epilepsy was performed on 1015 patients with epilepsy under observation in Hirosaki University Hospital for 3 years or more. Among the patients, 39 cases (3.8%) manifested psychotic states. The psychotic states could be classified into the following 5. types: schizopherenia-like state, delusional-hallucinatory state, paranoid state, manic-depressive state and 'Durchgangssyndrom'.<BR>Two cases showed schizophrenia-like state which was difficult to differentiate from schizophrenia. There were 19 cases (44%) of delusional-hallucinatory state, 9 (21%) paranoid, 7 (16%) manic-depressive and 6 (14%)'Durchgangssyndrom'. Of the cases, 4 showed 2 types of psychotic state in different periods.<BR>Some clinical factors appeared to correlate closely with the psychotic states. Of the cases with delusional-hallucinatory state, 58% had complex partial seizure and the same percent showed temporal spike foci on EEG. However in the other types of psychosis, there were clinico-electroencephalographically no significant findings.<BR>In 24 cases of the subjects, obvious adhesive personality trait was found. Particularly in paranoid state, all of the cases showed the trait and their ability of adaptation to environments was disturbed apparently by the trait.<BR>In 28 cases, on the other hand, some psychologically precipitating factors were found at onset of the psychotic states. All of the cases of the manic-depressive state had the psychological factors.<BR>The authors concluded that there are different types of psychotic state in so-called epileptic psychoses and there appears to be different clinical factors, probably relating to occurrence of the psychotic states. Importance of adhesive personality and psychological factors at onset was stressed in the psychoses.
- 一般社団法人 日本てんかん学会の論文
一般社団法人 日本てんかん学会 | 論文
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