Postictal Mania versus Postictal Psychosis: Differences in Clinical Features, Epileptogenic Zone, and Brain Functional Changes during Postictal Period
Purpose: To clarify the differences between postictal mania (PIM) and postictal psychosis (PIP). Methods: Five patients with PIM were compared to 17 patients with PIP, with respect to clinical, epileptological, electrophysiological, and neuroimaging features. PIM was distinguished from PIP by the sy...
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Veröffentlicht in: | Epilepsia (Copenhagen) 2006-12, Vol.47 (12), p.2104-2114 |
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creator | Nishida, Takuji Kudo, Tatsuya Inoue, Yushi Nakamura, Fumihiro Yoshimura, Masaki Matsuda, Kazumi Yagi, Kazuichi Fujiwara, Tateki |
description | Purpose: To clarify the differences between postictal mania (PIM) and postictal psychosis (PIP).
Methods: Five patients with PIM were compared to 17 patients with PIP, with respect to clinical, epileptological, electrophysiological, and neuroimaging features. PIM was distinguished from PIP by the symptoms observed in the postictal period based on the ICD‐10 criteria.
Results: Postictal manic episodes lasted for a longer period than postictal psychotic episodes. Patients with PIM had more recurrent postictal episodes than patients with PIP. The age at onset of epilepsy in patients with PIM was older than that in patients with PIP. PIM was associated with frontal lobe and temporal lobe epilepsies, whereas PIP was associated with temporal lobe epilepsy. The estimated epileptogenic zone was on the language dominant side in PIM, whereas there was no predominant hemispheric laterality in PIP. Electroencephalography (EEG) performed during the early period of postictal manic and psychotic episodes showed decreased frequency of interictal epileptiform discharges in both PIM and PIP. Single‐photon emission computed tomography (SPECT) during postictal manic and psychotic episodes showed increased perfusion in the temporal and/or frontal lobes in both PIM and PIP. Three patients with PIM showed increased perfusion during postictal episodes on bilateral or the language nondominant side, which were contralateral to the estimated epileptogenic zone, whereas three patients with PIP showed increased perfusion on the areas, which were ipsilateral to the estimated epileptogenic zone.
Conclusions: PIM has a distinct position among the mental disorders observed in the postictal period. |
doi_str_mv | 10.1111/j.1528-1167.2006.00893.x |
format | Article |
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Methods: Five patients with PIM were compared to 17 patients with PIP, with respect to clinical, epileptological, electrophysiological, and neuroimaging features. PIM was distinguished from PIP by the symptoms observed in the postictal period based on the ICD‐10 criteria.
Results: Postictal manic episodes lasted for a longer period than postictal psychotic episodes. Patients with PIM had more recurrent postictal episodes than patients with PIP. The age at onset of epilepsy in patients with PIM was older than that in patients with PIP. PIM was associated with frontal lobe and temporal lobe epilepsies, whereas PIP was associated with temporal lobe epilepsy. The estimated epileptogenic zone was on the language dominant side in PIM, whereas there was no predominant hemispheric laterality in PIP. Electroencephalography (EEG) performed during the early period of postictal manic and psychotic episodes showed decreased frequency of interictal epileptiform discharges in both PIM and PIP. Single‐photon emission computed tomography (SPECT) during postictal manic and psychotic episodes showed increased perfusion in the temporal and/or frontal lobes in both PIM and PIP. Three patients with PIM showed increased perfusion during postictal episodes on bilateral or the language nondominant side, which were contralateral to the estimated epileptogenic zone, whereas three patients with PIP showed increased perfusion on the areas, which were ipsilateral to the estimated epileptogenic zone.
Conclusions: PIM has a distinct position among the mental disorders observed in the postictal period.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/j.1528-1167.2006.00893.x</identifier><identifier>PMID: 17201710</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Age of Onset ; Biological and medical sciences ; Bipolar Disorder - diagnosis ; Bipolar Disorder - epidemiology ; Bipolar Disorder - physiopathology ; Brain Mapping ; Cerebral Cortex - physiopathology ; Comorbidity ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Diagnosis, Differential ; Diseases of the nervous system ; Electroencephalography - statistics & numerical data ; Epilepsy ; Epilepsy - diagnosis ; Epilepsy - epidemiology ; Epilepsy - physiopathology ; Epilepsy - psychology ; Epilepsy, Frontal Lobe - diagnosis ; Epilepsy, Frontal Lobe - epidemiology ; Epilepsy, Frontal Lobe - physiopathology ; Epilepsy, Temporal Lobe - diagnosis ; Epilepsy, Temporal Lobe - epidemiology ; Epilepsy, Temporal Lobe - physiopathology ; Frontal lobe ; Functional Laterality - physiology ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; International Classification of Diseases - statistics & numerical data ; Language ; Magnetic Resonance Imaging ; Magnetoencephalography ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Postictal mania ; Postictal psychosis ; Psychotic Disorders - diagnosis ; Psychotic Disorders - epidemiology ; Psychotic Disorders - physiopathology ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Recurrence ; Temporal lobe ; Time Factors ; Tomography, Emission-Computed, Single-Photon - statistics & numerical data ; Wechsler Scales</subject><ispartof>Epilepsia (Copenhagen), 2006-12, Vol.47 (12), p.2104-2114</ispartof><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5433-fee6f02f99ccd5cf78071bf998b500281ad5fdaf51a85d0b99e5ef8c2d6088de3</citedby><cites>FETCH-LOGICAL-c5433-fee6f02f99ccd5cf78071bf998b500281ad5fdaf51a85d0b99e5ef8c2d6088de3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1528-1167.2006.00893.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1528-1167.2006.00893.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,1428,27905,27906,45555,45556,46390,46814</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18425944$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17201710$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nishida, Takuji</creatorcontrib><creatorcontrib>Kudo, Tatsuya</creatorcontrib><creatorcontrib>Inoue, Yushi</creatorcontrib><creatorcontrib>Nakamura, Fumihiro</creatorcontrib><creatorcontrib>Yoshimura, Masaki</creatorcontrib><creatorcontrib>Matsuda, Kazumi</creatorcontrib><creatorcontrib>Yagi, Kazuichi</creatorcontrib><creatorcontrib>Fujiwara, Tateki</creatorcontrib><title>Postictal Mania versus Postictal Psychosis: Differences in Clinical Features, Epileptogenic Zone, and Brain Functional Changes during Postictal Period</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Purpose: To clarify the differences between postictal mania (PIM) and postictal psychosis (PIP).
Methods: Five patients with PIM were compared to 17 patients with PIP, with respect to clinical, epileptological, electrophysiological, and neuroimaging features. PIM was distinguished from PIP by the symptoms observed in the postictal period based on the ICD‐10 criteria.
Results: Postictal manic episodes lasted for a longer period than postictal psychotic episodes. Patients with PIM had more recurrent postictal episodes than patients with PIP. The age at onset of epilepsy in patients with PIM was older than that in patients with PIP. PIM was associated with frontal lobe and temporal lobe epilepsies, whereas PIP was associated with temporal lobe epilepsy. The estimated epileptogenic zone was on the language dominant side in PIM, whereas there was no predominant hemispheric laterality in PIP. Electroencephalography (EEG) performed during the early period of postictal manic and psychotic episodes showed decreased frequency of interictal epileptiform discharges in both PIM and PIP. Single‐photon emission computed tomography (SPECT) during postictal manic and psychotic episodes showed increased perfusion in the temporal and/or frontal lobes in both PIM and PIP. Three patients with PIM showed increased perfusion during postictal episodes on bilateral or the language nondominant side, which were contralateral to the estimated epileptogenic zone, whereas three patients with PIP showed increased perfusion on the areas, which were ipsilateral to the estimated epileptogenic zone.
Conclusions: PIM has a distinct position among the mental disorders observed in the postictal period.</description><subject>Age of Onset</subject><subject>Biological and medical sciences</subject><subject>Bipolar Disorder - diagnosis</subject><subject>Bipolar Disorder - epidemiology</subject><subject>Bipolar Disorder - physiopathology</subject><subject>Brain Mapping</subject><subject>Cerebral Cortex - physiopathology</subject><subject>Comorbidity</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Diagnosis, Differential</subject><subject>Diseases of the nervous system</subject><subject>Electroencephalography - statistics & numerical data</subject><subject>Epilepsy</subject><subject>Epilepsy - diagnosis</subject><subject>Epilepsy - epidemiology</subject><subject>Epilepsy - physiopathology</subject><subject>Epilepsy - psychology</subject><subject>Epilepsy, Frontal Lobe - diagnosis</subject><subject>Epilepsy, Frontal Lobe - epidemiology</subject><subject>Epilepsy, Frontal Lobe - physiopathology</subject><subject>Epilepsy, Temporal Lobe - diagnosis</subject><subject>Epilepsy, Temporal Lobe - epidemiology</subject><subject>Epilepsy, Temporal Lobe - physiopathology</subject><subject>Frontal lobe</subject><subject>Functional Laterality - physiology</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>International Classification of Diseases - statistics & numerical data</subject><subject>Language</subject><subject>Magnetic Resonance Imaging</subject><subject>Magnetoencephalography</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Postictal mania</subject><subject>Postictal psychosis</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - epidemiology</subject><subject>Psychotic Disorders - physiopathology</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Recurrence</subject><subject>Temporal lobe</subject><subject>Time Factors</subject><subject>Tomography, Emission-Computed, Single-Photon - statistics & numerical data</subject><subject>Wechsler Scales</subject><issn>0013-9580</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc2O0zAURi0EYsrAKyBvYDUp106cOIgNlBZGGkQXsGFjufZ1x1XqdOwEpi_C8-LSirIDb_x3vnstH0IogynL49VmygSXBWN1M-UA9RRAtuX0_gGZ_Ll4SCYArCxaIeGCPElpAwBN3ZSPyQVrOLCGwYT8XPZp8GbQHf2kg9f0O8Y0Jno-Xqa9ue2TT6_pe-8cRgwGE_WBzjofvMnIAvUwRkxXdL7zHe6Gfo35hn7rA15RHSx9F3UOLMZgBt-HHJnd6rDOZewYfVj_3Q6j7-1T8sjpLuGz03xJvi7mX2Yfi5vPH65nb28KI6qyLBxi7YC7tjXGCuMaCQ1b5a1cCQAumbbCWe0E01JYWLUtCnTScFuDlBbLS_LyWHcX-7sR06C2PhnsOh2wH5OqJZe8EuU_QQ68aXnFMiiPoIl9ShGd2kW_1XGvGKiDPLVRB0fq4Egd5Knf8tR9jj4_9RhXW7Tn4MlWBl6cAJ3yv7uog_HpzMmKi7aqMvfmyP3INvb__QA1X17nRfkLMb-3wA</recordid><startdate>200612</startdate><enddate>200612</enddate><creator>Nishida, Takuji</creator><creator>Kudo, Tatsuya</creator><creator>Inoue, Yushi</creator><creator>Nakamura, Fumihiro</creator><creator>Yoshimura, Masaki</creator><creator>Matsuda, Kazumi</creator><creator>Yagi, Kazuichi</creator><creator>Fujiwara, Tateki</creator><general>Blackwell Publishing Inc</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>200612</creationdate><title>Postictal Mania versus Postictal Psychosis: Differences in Clinical Features, Epileptogenic Zone, and Brain Functional Changes during Postictal Period</title><author>Nishida, Takuji ; Kudo, Tatsuya ; Inoue, Yushi ; Nakamura, Fumihiro ; Yoshimura, Masaki ; Matsuda, Kazumi ; Yagi, Kazuichi ; Fujiwara, Tateki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5433-fee6f02f99ccd5cf78071bf998b500281ad5fdaf51a85d0b99e5ef8c2d6088de3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Age of Onset</topic><topic>Biological and medical sciences</topic><topic>Bipolar Disorder - diagnosis</topic><topic>Bipolar Disorder - epidemiology</topic><topic>Bipolar Disorder - physiopathology</topic><topic>Brain Mapping</topic><topic>Cerebral Cortex - physiopathology</topic><topic>Comorbidity</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Diagnosis, Differential</topic><topic>Diseases of the nervous system</topic><topic>Electroencephalography - statistics & numerical data</topic><topic>Epilepsy</topic><topic>Epilepsy - diagnosis</topic><topic>Epilepsy - epidemiology</topic><topic>Epilepsy - physiopathology</topic><topic>Epilepsy - psychology</topic><topic>Epilepsy, Frontal Lobe - diagnosis</topic><topic>Epilepsy, Frontal Lobe - epidemiology</topic><topic>Epilepsy, Frontal Lobe - physiopathology</topic><topic>Epilepsy, Temporal Lobe - diagnosis</topic><topic>Epilepsy, Temporal Lobe - epidemiology</topic><topic>Epilepsy, Temporal Lobe - physiopathology</topic><topic>Frontal lobe</topic><topic>Functional Laterality - physiology</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>International Classification of Diseases - statistics & numerical data</topic><topic>Language</topic><topic>Magnetic Resonance Imaging</topic><topic>Magnetoencephalography</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Postictal mania</topic><topic>Postictal psychosis</topic><topic>Psychotic Disorders - diagnosis</topic><topic>Psychotic Disorders - epidemiology</topic><topic>Psychotic Disorders - physiopathology</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Recurrence</topic><topic>Temporal lobe</topic><topic>Time Factors</topic><topic>Tomography, Emission-Computed, Single-Photon - statistics & numerical data</topic><topic>Wechsler Scales</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nishida, Takuji</creatorcontrib><creatorcontrib>Kudo, Tatsuya</creatorcontrib><creatorcontrib>Inoue, Yushi</creatorcontrib><creatorcontrib>Nakamura, Fumihiro</creatorcontrib><creatorcontrib>Yoshimura, Masaki</creatorcontrib><creatorcontrib>Matsuda, Kazumi</creatorcontrib><creatorcontrib>Yagi, Kazuichi</creatorcontrib><creatorcontrib>Fujiwara, Tateki</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nishida, Takuji</au><au>Kudo, Tatsuya</au><au>Inoue, Yushi</au><au>Nakamura, Fumihiro</au><au>Yoshimura, Masaki</au><au>Matsuda, Kazumi</au><au>Yagi, Kazuichi</au><au>Fujiwara, Tateki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postictal Mania versus Postictal Psychosis: Differences in Clinical Features, Epileptogenic Zone, and Brain Functional Changes during Postictal Period</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2006-12</date><risdate>2006</risdate><volume>47</volume><issue>12</issue><spage>2104</spage><epage>2114</epage><pages>2104-2114</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Purpose: To clarify the differences between postictal mania (PIM) and postictal psychosis (PIP).
Methods: Five patients with PIM were compared to 17 patients with PIP, with respect to clinical, epileptological, electrophysiological, and neuroimaging features. PIM was distinguished from PIP by the symptoms observed in the postictal period based on the ICD‐10 criteria.
Results: Postictal manic episodes lasted for a longer period than postictal psychotic episodes. Patients with PIM had more recurrent postictal episodes than patients with PIP. The age at onset of epilepsy in patients with PIM was older than that in patients with PIP. PIM was associated with frontal lobe and temporal lobe epilepsies, whereas PIP was associated with temporal lobe epilepsy. The estimated epileptogenic zone was on the language dominant side in PIM, whereas there was no predominant hemispheric laterality in PIP. Electroencephalography (EEG) performed during the early period of postictal manic and psychotic episodes showed decreased frequency of interictal epileptiform discharges in both PIM and PIP. Single‐photon emission computed tomography (SPECT) during postictal manic and psychotic episodes showed increased perfusion in the temporal and/or frontal lobes in both PIM and PIP. Three patients with PIM showed increased perfusion during postictal episodes on bilateral or the language nondominant side, which were contralateral to the estimated epileptogenic zone, whereas three patients with PIP showed increased perfusion on the areas, which were ipsilateral to the estimated epileptogenic zone.
Conclusions: PIM has a distinct position among the mental disorders observed in the postictal period.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>17201710</pmid><doi>10.1111/j.1528-1167.2006.00893.x</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Age of Onset Biological and medical sciences Bipolar Disorder - diagnosis Bipolar Disorder - epidemiology Bipolar Disorder - physiopathology Brain Mapping Cerebral Cortex - physiopathology Comorbidity Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Diagnosis, Differential Diseases of the nervous system Electroencephalography - statistics & numerical data Epilepsy Epilepsy - diagnosis Epilepsy - epidemiology Epilepsy - physiopathology Epilepsy - psychology Epilepsy, Frontal Lobe - diagnosis Epilepsy, Frontal Lobe - epidemiology Epilepsy, Frontal Lobe - physiopathology Epilepsy, Temporal Lobe - diagnosis Epilepsy, Temporal Lobe - epidemiology Epilepsy, Temporal Lobe - physiopathology Frontal lobe Functional Laterality - physiology Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans International Classification of Diseases - statistics & numerical data Language Magnetic Resonance Imaging Magnetoencephalography Medical sciences Nervous system (semeiology, syndromes) Neurology Postictal mania Postictal psychosis Psychotic Disorders - diagnosis Psychotic Disorders - epidemiology Psychotic Disorders - physiopathology Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Recurrence Temporal lobe Time Factors Tomography, Emission-Computed, Single-Photon - statistics & numerical data Wechsler Scales |
title | Postictal Mania versus Postictal Psychosis: Differences in Clinical Features, Epileptogenic Zone, and Brain Functional Changes during Postictal Period |
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