Hemispherotomy in Adults. Is It Safe?—A Prospective Observational Study in Comparison to Children

J. Bajaj, P. Chandra, B. Ramanujam, Shabari Girishan, R. Doddamani, M. Tripathi
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Abstract

and the neurologist made final diagnosis. For further confirmation, CT scan/MRI head and EEG recording of all patient were done. Results: The age of all five cases varied from 12 to 45 years and out of five, two were females; they belonged to lower socioeconomic status and were educated. Two patients had positive family history of epilepsy but their siblings did not have similar complaints. All five patients have initial agitation followed by wandering aimlessly for varied durations. Findings of CT scan, laboratory investigations were normal but EEG in all five patients was abnormal. Conclusion: The fugue stages in psychological dis-order differ from patients with epilepsy/organic causes of fugue, in dissociative fugue, there are temporal relation found with psychological trauma. In those phases, patient maintains his safety with different identity and the initial symptom of abnormal behavior unlikely occurs. We found in these cases that patients were not able to maintain them-selves during fugue stage and their initial presentations were agitation and the important differences were found in EEG reports, those were abnormal.
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成人半球切开术。安全吗--与儿童比较的前瞻性观察研究
神经科医生做出了最终诊断。为了进一步确认,对所有患者进行了CT扫描/MRI头部和脑电图记录。结果:5例患者年龄12~45岁,其中2例为女性;他们的社会经济地位较低,受过教育。两名患者有阳性的癫痫家族史,但他们的兄弟姐妹没有类似的主诉。所有五名患者都有最初的躁动,随后漫无目的地徘徊了不同的时间。CT扫描和实验室检查结果正常,但五名患者的脑电图均异常。结论:心理障碍患者的赋格阶段不同于癫痫患者/赋格的器质性原因,在游离赋格中,存在与心理创伤的时间关系。在这些阶段,患者以不同的身份维护自己的安全,不太可能出现异常行为的最初症状。我们发现,在这些病例中,患者在赋格阶段无法保持自我,他们最初的表现是激动,在脑电图报告中发现了重要的差异,这些都是异常的。
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来源期刊
International Journal of Epilepsy
International Journal of Epilepsy Medicine-Neurology (clinical)
CiteScore
0.90
自引率
0.00%
发文量
6
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