Improvement of Aggressive and Antisocial Behavior After Resection of Temporal Lobe Tumors
Seizures associated with temporal lobe tumors may rarely manifest as episodic aggressive behavior. We describe 2 cases involving pediatric patients who presented with histories of unusually aggressive and antisocial behavior. Magnetic resonance imaging identified right mesial temporal lobe masses in...
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| Veröffentlicht in: | Pediatrics (Evanston) 2003-11, Vol.112 (5), p.e430-e430 |
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| creator | Nakaji, Peter Meltzer, Hal S Singel, Soren A Alksne, John F |
| description | Seizures associated with temporal lobe tumors may rarely manifest as episodic aggressive behavior. We describe 2 cases involving pediatric patients who presented with histories of unusually aggressive and antisocial behavior. Magnetic resonance imaging identified right mesial temporal lobe masses in both patients. After craniotomy for tumor removal, both patients were seizure-free and had marked reductions in their aggressive behavior. Tumors in the temporal lobe may be associated with behavioral problems, including aggression and rage attacks, which can be alleviated with surgical intervention. It is important to distinguish this subgroup of pediatric patients from those with alternative diagnoses such as attention-deficit/hyperactivity disorder or oppositional defiant disorder. |
| doi_str_mv | 10.1542/peds.112.5.e430 |
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We describe 2 cases involving pediatric patients who presented with histories of unusually aggressive and antisocial behavior. Magnetic resonance imaging identified right mesial temporal lobe masses in both patients. After craniotomy for tumor removal, both patients were seizure-free and had marked reductions in their aggressive behavior. Tumors in the temporal lobe may be associated with behavioral problems, including aggression and rage attacks, which can be alleviated with surgical intervention. 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We describe 2 cases involving pediatric patients who presented with histories of unusually aggressive and antisocial behavior. Magnetic resonance imaging identified right mesial temporal lobe masses in both patients. After craniotomy for tumor removal, both patients were seizure-free and had marked reductions in their aggressive behavior. Tumors in the temporal lobe may be associated with behavioral problems, including aggression and rage attacks, which can be alleviated with surgical intervention. It is important to distinguish this subgroup of pediatric patients from those with alternative diagnoses such as attention-deficit/hyperactivity disorder or oppositional defiant disorder.</description><subject>Adolescent</subject><subject>Aggression</subject><subject>Anticonvulsants - therapeutic use</subject><subject>Antipsychotic Agents - therapeutic use</subject><subject>Brain Neoplasms - psychology</subject><subject>Brain Neoplasms - surgery</subject><subject>Child Behavior Disorders - drug therapy</subject><subject>Child Behavior Disorders - etiology</subject><subject>Child Behavior Disorders - surgery</subject><subject>Child, Preschool</subject><subject>Combined Modality Therapy</subject><subject>Craniotomy</subject><subject>Epilepsy, Complex Partial - drug therapy</subject><subject>Epilepsy, Complex Partial - etiology</subject><subject>Epilepsy, Complex Partial - psychology</subject><subject>Epilepsy, Complex Partial - surgery</subject><subject>Epilepsy, Generalized - drug therapy</subject><subject>Epilepsy, Generalized - etiology</subject><subject>Epilepsy, Generalized - psychology</subject><subject>Epilepsy, Generalized - surgery</subject><subject>Ganglioglioma - psychology</subject><subject>Ganglioglioma - surgery</subject><subject>Humans</subject><subject>Institutionalization</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Meningeal Neoplasms - psychology</subject><subject>Meningeal Neoplasms - surgery</subject><subject>Meningioma - psychology</subject><subject>Meningioma - surgery</subject><subject>Pediatrics</subject><subject>Risperidone - therapeutic use</subject><subject>Suicide, Attempted</subject><subject>Temporal Lobe - physiology</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkM1LwzAYh4MoOqdnb1I8eOvM19tmxzn8goEg8-AptOmbLbI2M2kn_ve2OFA8JYfn95A8hFwwOmEg-c0WqzhhjE9gglLQAzJidKpSyXM4JCNKBUslpXBCTmN8p5RKyPkxOWESpkCVGpG3p3ob_A5rbNrE22S2WgWM0e0wKZoqmTWti964YpPc4rrYOR-SmW0xJC8Y0bTON8NqifXWhx5a-BKTZVf7EM_IkS02Ec_355i83t8t54_p4vnhaT5bpEZkvE2lBcGYxRykAjAVCICiYoB5LlVVmUypklErrckyOS0NIGaCCytyZUqRSTEm1z_e_h8fHcZW1y4a3GyKBn0Xdc4EB95PxuTqH_juu9D0b9OcK6GUYtBDNz-QCT7GgFZvg6uL8KUZ1UNyPSTXfXINekjeLy732q6ssfrl941_lWu3Wn-6gIPCFW1wJv65_lF-A7l5jcc</recordid><startdate>20031101</startdate><enddate>20031101</enddate><creator>Nakaji, Peter</creator><creator>Meltzer, Hal S</creator><creator>Singel, Soren A</creator><creator>Alksne, John F</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</general><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>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20031101</creationdate><title>Improvement of Aggressive and Antisocial Behavior After Resection of Temporal Lobe Tumors</title><author>Nakaji, Peter ; Meltzer, Hal S ; Singel, Soren A ; Alksne, John F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-4f5311fe754855cd5355ad15e7748ddc688b10f4fc6649bc5ee6323f378cb3643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Aggression</topic><topic>Anticonvulsants - therapeutic use</topic><topic>Antipsychotic Agents - therapeutic use</topic><topic>Brain Neoplasms - psychology</topic><topic>Brain Neoplasms - surgery</topic><topic>Child Behavior Disorders - drug therapy</topic><topic>Child Behavior Disorders - etiology</topic><topic>Child Behavior Disorders - surgery</topic><topic>Child, Preschool</topic><topic>Combined Modality Therapy</topic><topic>Craniotomy</topic><topic>Epilepsy, Complex Partial - drug therapy</topic><topic>Epilepsy, Complex Partial - etiology</topic><topic>Epilepsy, Complex Partial - psychology</topic><topic>Epilepsy, Complex Partial - surgery</topic><topic>Epilepsy, Generalized - drug therapy</topic><topic>Epilepsy, Generalized - etiology</topic><topic>Epilepsy, Generalized - psychology</topic><topic>Epilepsy, Generalized - surgery</topic><topic>Ganglioglioma - psychology</topic><topic>Ganglioglioma - surgery</topic><topic>Humans</topic><topic>Institutionalization</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Meningeal Neoplasms - psychology</topic><topic>Meningeal Neoplasms - surgery</topic><topic>Meningioma - psychology</topic><topic>Meningioma - surgery</topic><topic>Pediatrics</topic><topic>Risperidone - therapeutic use</topic><topic>Suicide, Attempted</topic><topic>Temporal Lobe - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakaji, Peter</creatorcontrib><creatorcontrib>Meltzer, Hal S</creatorcontrib><creatorcontrib>Singel, Soren A</creatorcontrib><creatorcontrib>Alksne, John F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakaji, Peter</au><au>Meltzer, Hal S</au><au>Singel, Soren A</au><au>Alksne, John F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improvement of Aggressive and Antisocial Behavior After Resection of Temporal Lobe Tumors</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2003-11-01</date><risdate>2003</risdate><volume>112</volume><issue>5</issue><spage>e430</spage><epage>e430</epage><pages>e430-e430</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>Seizures associated with temporal lobe tumors may rarely manifest as episodic aggressive behavior. We describe 2 cases involving pediatric patients who presented with histories of unusually aggressive and antisocial behavior. Magnetic resonance imaging identified right mesial temporal lobe masses in both patients. After craniotomy for tumor removal, both patients were seizure-free and had marked reductions in their aggressive behavior. Tumors in the temporal lobe may be associated with behavioral problems, including aggression and rage attacks, which can be alleviated with surgical intervention. It is important to distinguish this subgroup of pediatric patients from those with alternative diagnoses such as attention-deficit/hyperactivity disorder or oppositional defiant disorder.</abstract><cop>United States</cop><pub>Am Acad Pediatrics</pub><pmid>14595088</pmid><doi>10.1542/peds.112.5.e430</doi></addata></record> |
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| subjects | Adolescent Aggression Anticonvulsants - therapeutic use Antipsychotic Agents - therapeutic use Brain Neoplasms - psychology Brain Neoplasms - surgery Child Behavior Disorders - drug therapy Child Behavior Disorders - etiology Child Behavior Disorders - surgery Child, Preschool Combined Modality Therapy Craniotomy Epilepsy, Complex Partial - drug therapy Epilepsy, Complex Partial - etiology Epilepsy, Complex Partial - psychology Epilepsy, Complex Partial - surgery Epilepsy, Generalized - drug therapy Epilepsy, Generalized - etiology Epilepsy, Generalized - psychology Epilepsy, Generalized - surgery Ganglioglioma - psychology Ganglioglioma - surgery Humans Institutionalization Magnetic Resonance Imaging Male Meningeal Neoplasms - psychology Meningeal Neoplasms - surgery Meningioma - psychology Meningioma - surgery Pediatrics Risperidone - therapeutic use Suicide, Attempted Temporal Lobe - physiology |
| title | Improvement of Aggressive and Antisocial Behavior After Resection of Temporal Lobe Tumors |
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