Pontius Anneliese A
Harvard Medical School, Boston, MA, USA.
Neurocase. 2008;14(1):29-43. doi: 10.1080/13554790801992750.
Limbic psychotic trigger reaction (LPTR) includes paroxysmal, out-of-character, motiveless, unplanned felonies (or similarly bizarre social misbehavior), all committed during flat affect, autonomic arousal and a fleeting de novo psychosis. A transient limbic hyperactivation is implicated that impairs prefrontal monitoring (judgment, planning, intent, volition, emotional participation) but preserves memory for the acts. It is hypothesized that LPTR implicates an atavistic regression to a limbic 'paleo-consciousness', exemplified by a 24th patient (parental infanticide), presented herein. He had closed head injury and borderline abnormal posterior brain pathology (EEG/CT), which might have contributed to his unusually numerous visual hallucinations.
边缘性精神病触发反应（LPTR）包括阵发性、不符合性格、无动机、无计划的重罪（或类似怪异的社会不当行为），所有这些行为均在情感平淡、自主神经觉醒和短暂的新发精神病期间发生。有证据表明存在短暂的边缘系统过度激活，这种激活会损害前额叶监测（判断、计划、意图、意志、情感参与），但会保留对这些行为的记忆。据推测，LPTR涉及向边缘系统“原始意识”的返祖退化，本文介绍的第24例患者（杀婴）就是例证。他曾有闭合性颅脑损伤以及后脑病理检查结果接近异常（脑电图/计算机断层扫描），这可能是他出现异常大量视幻觉的原因。
