측두엽절제술 후 새롭게 발생한 정신병 2예
Newly-Developde Psychosis Following Temporal Lobectomy : 2 Cases
이상암, 김성윤, 임수빈, 강중구, 이정교,
소속 상세정보
이상암 ( Lee Sang-Ahm )
울산대학교 의과대학 서울중앙병원 신경과학교실
김성윤 ( Kim Seong-Yoon )
울산대학교 의과대학 서울중앙병원 정신과학교실
임수빈 ( Yim Soo-Bin )
울산대학교 의과대학 서울중앙병원 신경과학교실
강중구 ( Kang Joong-Koo )
울산대학교 의과대학 서울중앙병원 신경과학교실
이정교 ( Lee Jung-Kyo )
울산대학교 의과대학 서울중앙병원 신경외과학교실
KMID : 0877219990030020209
Abstract
Psychosis is the most severe psychiatric complication of epilepsy surgery, We report two cases of newly-developed psychosis after temporal lobectomy, First case is a 46-year-old man with mesial temporal lobe epilepsy who presented recurrent postictal psychosis 1 year after right temporal lobectomy. Second case is a 44-years-old woman who presented chronic psychosis 6 month after left temporal lobectomy. Main psychotic symptoms were paranoid persecutory delusion. The common features in both cases were middle age, ling duration of epilepsy, and bilateral independent spike on preoperative EEG. Even if postoperative psychosis is rare, careful observation is needed because temporal lobectomy is an ever-increasing treatment.
키워드
정신병;측두엽절제술;측두엽간질
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