Yiannopoulou K G, Kounenou D, Papageorgiou C C
Department of Neurology, Laiko General Hospital of Athens, Athens, Greece.
Neurocase. 2009 Oct;15(5):436-44. doi: 10.1080/13554790902953800. Epub 2009 May 29.
Limbic psychotic trigger reaction (LPTR) includes paroxysmal, motiveless, unplanned felonies, all committed during flat affect, autonomic arousal and a fleeting de novo psychosis. It is considered as a form of non-convulsive behavioural seizures (NCBS). A transient limbic hyperactivation is probably implicated that impairs prefrontal monitoring but preserves memory for the acts. LPTR may, however, not be limited to felonies which have attracted forensic attention. There may exist many more 'merely' social misbehaviours, undetected and untreated as a 'sleeper' case. This kind of possible undetected LPTR cases, exemplified by a patient who suffers from paroxysmal hallucinations triggering her to attempt to commit infanticide, is presented herein. Our patient had repetitive occurrence of episodes and remission of the symptomatology after the administration of oxcarbazepine, facts that support the epileptic origin of the disorder.
边缘性精神病触发反应（LPTR）包括阵发性、无动机、无计划的重罪行为，所有这些行为均在情感平淡、自主神经兴奋和短暂的新发精神病期间发生。它被认为是非惊厥性行为发作（NCBS）的一种形式。可能存在短暂的边缘系统过度激活，这会损害前额叶监测，但保留对行为的记忆。然而，LPTR可能不限于引起法医关注的重罪。可能存在更多“仅仅是”社会不当行为，作为“潜伏”病例未被发现和治疗。本文介绍了这种可能未被发现的LPTR病例，以一名患有阵发性幻觉并触发其试图杀婴的患者为例。我们的患者症状反复出现，服用奥卡西平后症状缓解，这些事实支持了该疾病的癫痫起源。
