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
Hauptverfasser: Nishida, Takuji, Kudo, Tatsuya, Inoue, Yushi, Nakamura, Fumihiro, Yoshimura, Masaki, Matsuda, Kazumi, Yagi, Kazuichi, Fujiwara, Tateki
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container_issue 12
container_start_page 2104
container_title Epilepsia (Copenhagen)
container_volume 47
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
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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 &amp; 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 &amp; 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. 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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><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 &amp; 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 &amp; 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 &amp; 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 &amp; 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 &amp; 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 &amp; 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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