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一名癫痫患者在癫痫发作后被控绑架、非法拘禁和故意伤害身体:法律制度的缺陷。

A patient with epilepsy charged with kidnapping, unlawful confinement, and assault causing bodily harm after seizures: Deficiencies in the legal system.

作者信息

Denton Alyssa, Tellez-Zenteno Jose F

机构信息

Saskatchewan Epilepsy Program, Department of Medicine, Division of Neurology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

出版信息

Epilepsy Behav Rep. 2020 Mar 21;13:100361. doi: 10.1016/j.ebr.2020.100361. eCollection 2020.

DOI:10.1016/j.ebr.2020.100361
PMID:32280943
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7139163/
Abstract

We report the rare case of a 34-year-old right-handed male who had drug-resistant epilepsy associated with a frontal cavernoma since the age of 13 who was convicted of criminal charges related to seizures. When he was 32 years old, he had a focal seizure with impaired awareness and then he tried to grab a 7-year-old girl who was in a car coming out from a dance class. He was arrested and taken to the police station. Later that day, the patient was being interrogated by a police officer when he had a hypermotor seizure at the end of the interview. He punched the policeman leading to multiple charges laid, including kidnapping, unlawful confinement, and assault causing bodily harm. He remained in jail for the next year and a half. During this time, he had epilepsy surgery for resection of the cavernoma. The patient was rendered seizure-free after resection of the cavernoma for one-year. Due to the occurrence of seizures before the alleged "kidnapping" and based upon his interview with the policeman, the patient was acquitted from all legal charges. We review available cases of non-homicidal criminality with a legal outcome in this article.

摘要

我们报告了一例罕见病例,一名34岁右利手男性,自13岁起患有与额叶海绵状血管瘤相关的耐药性癫痫,因癫痫发作面临刑事指控。32岁时,他出现一次伴有意识障碍的局灶性发作,随后试图抓住一名从舞蹈班出来、坐在车内的7岁女孩。他因此被捕并被带到警察局。当天晚些时候,该患者在接受一名警官讯问时,在讯问结束时出现了运动过多性发作。他殴打了警察,导致多项指控,包括绑架、非法拘禁和造成身体伤害的袭击。在接下来的一年半时间里,他一直被关押在监狱。在此期间,他接受了癫痫手术以切除海绵状血管瘤。切除海绵状血管瘤后,患者一年内无癫痫发作。由于在所谓的“绑架”事件发生前就有癫痫发作,并且基于他与警察的面谈,该患者被免除了所有法律指控。在本文中,我们回顾了具有法律结果的非杀人犯罪的现有病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d062/7139163/333369ffa994/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d062/7139163/333369ffa994/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d062/7139163/333369ffa994/gr1.jpg

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本文引用的文献

1
Epileptic seizures and criminal acts: Is there a relationship?癫痫发作与犯罪行为:二者是否存在关联?
Epilepsy Behav. 2019 Aug;97:15-21. doi: 10.1016/j.yebeh.2019.05.015. Epub 2019 Jun 7.
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Postictal Delirium and Violent Behavior in Patients with Post-Neurosurgical Epilepsy.神经外科术后癫痫患者的发作后谵妄与暴力行为
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The hanging of Derek Bentley, a 19-year-old boy with epilepsy.德里克·本特利,一名患有癫痫的19岁男孩,被处以绞刑。
Epilepsy Behav. 2017 Nov;76:136-138. doi: 10.1016/j.yebeh.2017.08.036. Epub 2017 Sep 15.
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Characteristics of Epilepsy Patients who Committed Violent Crimes: Report from the National Forensic Hospital.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。
J Epilepsy Res. 2011 Mar 30;1(1):13-8. doi: 10.14581/jer.11003. eCollection 2011 Mar.
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Epilepsy and homicide.癫痫与凶杀。
Neuropsychiatr Dis Treat. 2013;9:667-73. doi: 10.2147/NDT.S45370. Epub 2013 May 14.
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Not guilty by reason of epilepsy. Post-ictal delirium and psychosis resulting in violent offending.因癫痫无罪。发作后谵妄和精神病导致暴力犯罪。
Aust N Z J Psychiatry. 2013 Oct;47(10):961-2. doi: 10.1177/0004867413479409. Epub 2013 Feb 25.
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Cesare Lombroso and epilepsy 100 years later: an unabridged report of his original transactions.一百年后重新审视切萨雷·隆布罗索与癫痫:其原始论著全文报告
Epilepsia. 2011 Apr;52(4):679-88. doi: 10.1111/j.1528-1167.2010.02959.x. Epub 2011 Feb 14.
8
Directed aggressive behavior in frontal lobe epilepsy: a video-EEG and ictal spect case study.额叶癫痫中的定向攻击行为:一项视频脑电图和发作期频谱的病例研究。
Neurology. 2009 Nov 24;73(21):1804-6. doi: 10.1212/WNL.0b013e3181c2933f. Epub 2009 Oct 21.
9
Epileptic automatisms in the criminal courts: 13 cases tried in England and Wales between 1975 and 2001.刑事法庭中的癫痫自动症:1975年至2001年间在英格兰和威尔士审理的13起案件
Epilepsia. 2008 Jan;49(1):138-45. doi: 10.1111/j.1528-1167.2007.01269.x.
10
The nature of aggression during epileptic seizures.癫痫发作时攻击行为的本质。
Epilepsy Behav. 2002 Dec;3(6):550-556. doi: 10.1016/s1525-5050(02)00529-2.