0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
ICTAL DEPRESSION AND ANXIETY IN TEMPORAL LOBE DISORDERS
ANDRE A. WEIL
Am J Psychiatry 1956;113:149-157.
View Author and Article Information

The Department of Neurology, Western Reserve University Medical School (City Hospital, Cleveland); Cleveland Receiving Hospital; Huron Road Hospital (Neurol. & Neurosurg. Service), East Cleveland.

text A A A
PDF of the full text article.
Abstract

Whereas affective disturbances may accompany almost any organic cerebral disorder, the occurrence of "ictal emotions" (suddenly occurring and again disappearing emotional reactions) are frequently associated with disorders of the temporal lobe.We noted a distinct relationship between paroxysmal, depressive reactions and uncinate attacks. Ictal depressions lasting from hours to weeks occurred in 7 subjects whose principal seizure manifestations consisted of uncinate attacks and temporal lobe automatisms. Depressive episodes preceded or followed temporal lobe seizures or occurred paroxysmally in the "free interval" between seizures. Serial EEG's demonstrate that this particular type of depressive reaction may be due to subclinica 'hippocampal-amygdaloid-temporal lobe epilepsy" and/or due to afterdischarges from the same structures following manifest seizure activation.The occurrence of paroxysmal fear, or "isolated anxiety" has been sporadically mentioned in the literature as a correlate of temporal lobe seizures, particularly as expression of a temporal lobe aura. We noted "paroxysmal anxiety" in 4 subjects, not only immediately preceding temporal lobe seizures, but also as an "isolated," affective phenomenon in the so-called "free interval." These anxiety attacks seem to bear a relationship to "firing" of the temporal lobe cortex, as demonstrated by our serial EEG observations and as evidenced by Penfield and co-workers during electrical stimulation. [SEE FIG. 7. IN SOURCE PDF.]

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Web of Science® Times Cited: 36

Related Content
Articles
Books
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 50.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 50.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 4.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 38.  >
Manual of Clinical Psychopharmacology, 7th Edition > Chapter 12.  >
Psychiatric News
APA Guidelines
PubMed Articles