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[神经心理学与精神病理学:药物难治性癫痫手术中的认知分析]

[Neuropsychology and psychopathology: cognitive analysis during medically refractory epilepsy surgery].

作者信息

Thomas-Antérion C

机构信息

Unité de Neuropsychologie-CM2R, Service de Neurologie, CHU Bellevue, 25 boulevard Pasteur, 42055 Saint Etienne cedex 02, France.

出版信息

Rev Neurol (Paris). 2008 May;164 Suppl 3:S128-33. doi: 10.1016/S0035-3787(08)73303-4.

Abstract

In psychopathology, few studies have been focused on the psychiatric complications of medically refractory mesial temporal lobe epilepsy (MTLE). The aim of the present study was to study NG's capacities, who presented emotional change after right temporal epilepsy surgery with phobias and empathy disorders. NG was examined in two emotional judgment tasks: one explicit and another implicit. For negative stimuli, NG had attraction in the explicit task and dependency in the implicit task. This study suggests that surgical intervention might be one of the causes of postoperative psychiatric disorders in patients with MTLE. MTLE patients have to be explored with neuropsychological paradigms.

摘要

在精神病理学领域,很少有研究聚焦于药物难治性内侧颞叶癫痫(MTLE)的精神并发症。本研究的目的是研究NG的能力,NG在右侧颞叶癫痫手术后出现了情绪变化,伴有恐惧症和共情障碍。对NG进行了两项情绪判断任务测试:一项是显性任务,另一项是隐性任务。对于负面刺激,NG在显性任务中有吸引力,在隐性任务中有依赖性。本研究表明,手术干预可能是MTLE患者术后精神障碍的原因之一。必须用神经心理学范式对MTLE患者进行探究。

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