Department of Diagnostics and Applied Technology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
Neurol Sci. 2019 Apr;40(4):865-868. doi: 10.1007/s10072-018-3678-6. Epub 2018 Dec 15.
People with epilepsy often suffer psychiatric symptoms or exhibit maladaptive personality characteristics which can impact them more than seizures. This case illustrates a selective association of a Theory of Mind dysfunction, including an impaired comparison of reality and others' behavior, with an obsessive-compulsive personality disorder in a patient with left temporal lobe epilepsy and crossed cognitive functions. The patient revealed visual memory deficits and impaired interpretation of other people's behavior, mental rigidity, and a tendency to formulate inflexible judgements. Moreover, she shows impairment in understanding and sharing the emotional states of others in reference to herself (Empathic Quotient); her social relations are limited to her parents. Patients with right temporal lobe epilepsy frequently report persistent and rigid actions and thoughts, and this can have substantial psychological and social consequences for everyday life. We suggest that this could be a case of crossed cognitive functions, in particular ToM, and crossed psychobehavioral functions linked to right-hemisphere damage.
癫痫患者常伴有精神症状或表现出自适应人格特征，这些问题对他们的影响比癫痫发作更大。本病例说明了一种心理理论功能障碍的选择性关联，包括对现实和他人行为的比较受损，与左颞叶癫痫和交叉认知功能患者的强迫人格障碍有关。该患者表现出视觉记忆缺陷、他人行为解读受损、思维僵化和形成僵化判断的倾向。此外，她在理解和分享他人的情绪状态方面存在障碍（同理心商数），她的社交关系仅限于她的父母。右颞叶癫痫患者常报告持续和僵化的行为和思维，这会对日常生活产生重大的心理和社会后果。我们认为，这可能是一种交叉认知功能的情况，特别是心理理论功能，以及与右半球损伤相关的交叉心理行为功能。
