Lewis D O
Am J Psychiatry. 1976 Dec;133(12):1395-8. doi: 10.1176/ajp.133.12.1395.
In a retrospective chart-review study, the author found psychomotor epileptic symptoms in 6% (N=18) of children referred to a juvenile court over a 2-year period. Abnormalities appeared in 11 of the 14 available EEGs, but temporal lobe foci were noted in only 3 cases. Of these 18 children, 16 experienced paranoid symptoms that led to aggressive behavior. The incidence of offenses against persons was 50% in this sample, compared to 2--3% in the population of children referred to the juvenile court. The author suggests that psychomotor epilepsy may be far more common among delinquent children than has been reported previously and should therefore be included in the differential diagnosis of court-referred children.
在一项回顾性病历审查研究中，作者发现，在两年时间里被转介到少年法庭的儿童中，6%（N = 18）有精神运动性癫痫症状。14份可用脑电图中有11份出现异常，但仅3例发现颞叶病灶。在这18名儿童中，16名有偏执症状并导致攻击行为。该样本中针对他人犯罪的发生率为50%，而被转介到少年法庭的儿童总体发生率为2%-3%。作者认为，精神运动性癫痫在违法儿童中可能比之前报道的更为常见，因此应纳入被转介到法庭的儿童的鉴别诊断中。
