Wieser H G
EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1979 Dec;10(4):197-206.
During stereo-EEG on drug resistant epileptic patients "psychical seizures" such as illusions, hallucinations, strange emotions and disturbances of thinking were observed. The depth recordings of the presented cases reveal the epileptic nature of these psychic phenomena. Elementary illusions and hallucinations can often be correlated with circumscribed discharges in cortical representation areas. Larger areas of the temporal lobe are found to be involved regularly in the more complex hallucinations. Emotional changes are strongly linked to the limbic system whereas "intellectual auras" or other disturbances of thinking are attributed to paroxystic dysfunctions of mainly frontal areas. The discussion deals with the relationship between psychomotor epilepsy and psychosis as well as the relationship between the frequency of seizures and psychic and/or behavioral disturbances. In this context a possible explanation of the so-called "forced normalization" of the EEG is given.
在对耐药性癫痫患者进行立体脑电图检查期间，观察到了诸如错觉、幻觉、奇怪情绪和思维障碍等“精神性发作”。所呈现病例的深度记录揭示了这些精神现象的癫痫本质。基本的错觉和幻觉通常与皮质表征区域的局限性放电相关。发现颞叶的较大区域经常参与更复杂的幻觉。情绪变化与边缘系统密切相关，而“智力先兆”或其他思维障碍则归因于主要是额叶区域的阵发性功能障碍。讨论涉及精神运动性癫痫与精神病之间的关系以及癫痫发作频率与精神和/或行为障碍之间的关系。在此背景下，给出了脑电图所谓“强制正常化”的一种可能解释。
