Manchanda R, Miller H, McLachlan R S
Department of Psychiatry, University of Western Ontario, London, Canada.
J Neurol Neurosurg Psychiatry. 1993 Mar;56(3):277-9. doi: 10.1136/jnnp.56.3.277.
Of 298 patients who had temporal lobectomies for intractable epilepsy, 4 (1.3%) developed post-ictal psychosis for the first time after surgery. All were males of normal intelligence with no pre-operative psychiatric disorder. Psychosis followed both complex partial and generalised seizures. The psychotic symptoms showed polymorphic features. Right temporal lobectomy may increase the susceptibility to post-ictal psychosis in patients who are not seizure free after surgery, particularly in the first post-operative year.
在298例因顽固性癫痫接受颞叶切除术的患者中，有4例（1.3%）在术后首次出现发作后精神病。所有患者均为智力正常的男性，术前无精神疾病。精神病在复杂部分性发作和全身性发作后均有出现。精神病症状表现为多形性特征。右侧颞叶切除术可能会增加术后仍有癫痫发作的患者，尤其是术后第一年出现发作后精神病的易感性。
