实施暴力犯罪的癫痫患者的特征：来自国家法医医院的报告。
Characteristics of Epilepsy Patients who Committed Violent Crimes: Report from the National Forensic Hospital.
作者信息
Kim Jeong-Min, Chu Kon, Jung Keun-Hwa, Lee Soon-Tae, Choi Sang-Sub, Lee Sang Kun
机构信息
Department of Neurology, Comprehensive Epilepsy Center, Seoul National University Hospital, Seoul, Korea ; Departments of Neurology, National Forensic Hospital, Ministry of Justice, Gongju, Korea.
Department of Neurology, Comprehensive Epilepsy Center, Seoul National University Hospital, Seoul, Korea.
出版信息
J Epilepsy Res. 2011 Mar 30;1(1):13-8. doi: 10.14581/jer.11003. eCollection 2011 Mar.
BACKGROUND AND PURPOSE
We investigated the clinical and criminal characteristics of patients with epilepsy who had committed violent crimes in order to understand the mechanism of violence and to prevent future criminal activity.
METHODS
We reviewed medical and legal reports of criminals with epilepsy who were incarcerated in the Korean National Forensic Hospital between October 2007 and September 2008.
RESULTS
Of 761 criminals admitted to the National Forensic Hospital, 17 patients (2.2%) were diagnosed with epilepsy. All of them had localization-related epilepsy, and no patient reported an overt seizure attack around the time of a crime. Psychosis was present in eight patients, and seven patients were in a drunken state at the time of the crimes. There was a positive correlation between the patients' age at their first crime and their intelligence quotient score.
CONCLUSIONS
These results suggest that most violent crimes take place during interictal periods, and diverse medical conditions, including inebriation, psychosis, and low intelligence, are associated with violent crimes among epileptic patients.
背景与目的
我们调查了实施暴力犯罪的癫痫患者的临床和犯罪特征，以了解暴力行为的机制并预防未来的犯罪活动。
方法
我们回顾了2007年10月至2008年9月期间关押在韩国国立法医医院的癫痫罪犯的医学和法律报告。
结果
在国立法医医院收治的761名罪犯中，17名患者（2.2%）被诊断为癫痫。他们均患有局灶性相关性癫痫，且无患者报告在犯罪前后有明显的癫痫发作。8名患者存在精神障碍，7名患者在犯罪时处于醉酒状态。患者首次犯罪时的年龄与智商得分之间存在正相关。
结论
这些结果表明，大多数暴力犯罪发生在发作间期，包括醉酒、精神障碍和低智商在内的多种医学状况与癫痫患者的暴力犯罪有关。
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