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Psychosomatic Medicine 31:479-498 (1969)
© 1969 American Psychosomatic Society

Similarities in Mental Content of Psychotic States, Spontaneous Seizures, Dreams, and Responses to Electrical Brain Stimulation in Patients with Temporal Lobe Epilepsy

SHIRLEY M. FERGUSON MD1, MARK RAYPORT MD, CM, PHD2, RUSSELL GARDNER MD3, WALTER KASS PHD4, HERBERT WEINER MD3, and MORTON F. REISER MD3

1 Department of Psychiatry, The Medical College of Ohio, Toledo, Ohio 43614
2 Section of Neurological Surgery, The Medical College of Ohio, Toledo Ohio 43614
3 Departments of Neurological Surgery and Psychiatry, Albert Einstein College of Medicine Bronx, NY.
4 Department of Psychiatry and Neurology, New York University-Bellevue Medical Center, NY.

The present study was guided by the hypothesis that temporal lobe epilepsy psychosis is associated with a definable syndrome of deficits in the higher cortical functions. Comparison was made of the mental content and mechanisms observed during psychotic episodes, seizures, dreams, and responses to electrical brain stimulation occurring in diverse combinations in 5 patients with drug-refractory temporal lobe epilepsy referred for neurosurgical treatment. Neurological, neuroradiological, EEG, and neuropsychiatric base lines were available before onset of the psychosis. Psychiatric manifestations were related to the interaction of disturbances in specific higher cortical functions and individual dynamic configurations. Interpatient variation in psychotic symptomatology arose from significant elements in the patient's past and current emotional life which provided the psychosis with form and content.

Submitted on April 17, 1969
Revised on June 12, 1969




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