Department of Medicine, Surgery and Dentistry, University of Milan Medical School and San Paolo Hospital, Milan, Italy.
Epilepsy Behav. 2011 Oct;22(2):385-7. doi: 10.1016/j.yebeh.2011.06.018. Epub 2011 Jul 23.
We describe the 1-year follow-up after epilepsy surgery of 12 patients with chronic interictal psychosis and medically intractable epilepsy. The 12 cases described were part of a sample of 350 subjects who concluded a 1-year psychiatric follow-up from a total of 504 subjects operated on for medically intractable epilepsy between 2002 and 2009. Outcome was Engel class IA for five of these patients, IB for one, ID for one, IIB for one, IIIA for three, and IVA for one. Four patients had a worsening of psychotic symptoms at 6 months, but showed improvement after 1 year; two subjects had a worsening of psychotic symptoms at both 6 months and 1 year. Despite the severity of symptoms, compliance with preoperative assessment, surgical programs, and follow-up was satisfactory.
我们描述了 12 例慢性发作间期精神病和药物难治性癫痫患者手术后 1 年的随访结果。这 12 例病例是对 2002 年至 2009 年间接受药物难治性癫痫手术的 504 例患者中的 350 例进行为期 1 年的精神科随访的样本中的一部分。这 12 例患者中，有 5 例的术后结果为 Engel 分级Ⅰ A，1 例为Ⅰ B，1 例为Ⅰ D，1 例为Ⅱ B，3 例为Ⅲ A，1 例为Ⅳ A。有 4 例患者在术后 6 个月时精神病症状恶化，但在 1 年后有所改善；2 例患者在 6 个月和 1 年均出现精神病症状恶化。尽管症状严重，但患者对术前评估、手术方案和随访的依从性令人满意。
