Left or right temporal lesion might induce aggression or escape during awake surgery, respectively: role of the amygdala

Shinoura N, Yamada R, Tabei Y, Otani R, Itoi C, Saito S, Midorikawa A. Left or right temporal lesion might induce aggression or escape during awake surgery, respectively: role of the amygdala. Objective: Some patients with temporal lobe brain tumours show aggressive or escape behaviour during awake...

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Veröffentlicht in:Acta neuropsychiatrica 2011-06, Vol.23 (3), p.119-124
Hauptverfasser: Shinoura, Nobusada, Yamada, Ryozi, Tabei, Yusuke, Otani, Ryohei, Itoi, Chihiro, Saito, Seiko, Midorikawa, Akira
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container_end_page 124
container_issue 3
container_start_page 119
container_title Acta neuropsychiatrica
container_volume 23
creator Shinoura, Nobusada
Yamada, Ryozi
Tabei, Yusuke
Otani, Ryohei
Itoi, Chihiro
Saito, Seiko
Midorikawa, Akira
description Shinoura N, Yamada R, Tabei Y, Otani R, Itoi C, Saito S, Midorikawa A. Left or right temporal lesion might induce aggression or escape during awake surgery, respectively: role of the amygdala. Objective: Some patients with temporal lobe brain tumours show aggressive or escape behaviour during awake surgery. As the amygdala plays a critical role in coping with stress, we evaluated whether the left or right amygdala was involved in aggressive or escape behaviour in six patients undergoing awake surgery for temporal lobe brain tumours. Methods: Brain tumours were located in the left temporal lobe in cases 1–3 and in the right temporal lobe in cases 4–6. In cases 1, 2, 4 and 5, the tumours invaded the amygdala. Results: In case 1, the patient showed aggressive behaviour before partial removal of the left amygdala during awake surgery; just after partial removal of left amygdala, the patient was calm and cooperative. In case 2, the patient showed aggressive behaviour when the tumour near the left amygdala was removed. In case 3, the patient showed aggressive behaviour when awakening during awake surgery. In case 4, the patient showed escape behaviour when removal of the tumour near the right amygdala was initiated. In cases 5 and 6, patients showed escape behaviour upon awakening and upon initiation of tumour removal from the temporal lobe. Conclusion: In conclusion, these results suggest that left or right temporal lesions might induce aggressive or escape behaviour during awake surgery, respectively, and that the amygdala on the respective side may play a role in these behaviours.
doi_str_mv 10.1111/j.1601-5215.2011.00544.x
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Left or right temporal lesion might induce aggression or escape during awake surgery, respectively: role of the amygdala. Objective: Some patients with temporal lobe brain tumours show aggressive or escape behaviour during awake surgery. As the amygdala plays a critical role in coping with stress, we evaluated whether the left or right amygdala was involved in aggressive or escape behaviour in six patients undergoing awake surgery for temporal lobe brain tumours. Methods: Brain tumours were located in the left temporal lobe in cases 1–3 and in the right temporal lobe in cases 4–6. In cases 1, 2, 4 and 5, the tumours invaded the amygdala. Results: In case 1, the patient showed aggressive behaviour before partial removal of the left amygdala during awake surgery; just after partial removal of left amygdala, the patient was calm and cooperative. In case 2, the patient showed aggressive behaviour when the tumour near the left amygdala was removed. In case 3, the patient showed aggressive behaviour when awakening during awake surgery. In case 4, the patient showed escape behaviour when removal of the tumour near the right amygdala was initiated. In cases 5 and 6, patients showed escape behaviour upon awakening and upon initiation of tumour removal from the temporal lobe. Conclusion: In conclusion, these results suggest that left or right temporal lesions might induce aggressive or escape behaviour during awake surgery, respectively, and that the amygdala on the respective side may play a role in these behaviours.</description><identifier>ISSN: 0924-2708</identifier><identifier>EISSN: 1601-5215</identifier><identifier>DOI: 10.1111/j.1601-5215.2011.00544.x</identifier><identifier>PMID: 26952898</identifier><language>eng</language><publisher>Oxford, UK: Cambridge University Press</publisher><subject>Aggression ; Aggressive behavior ; Amygdala ; awake surgery ; Brain tumors ; brain tumour ; escape ; Escape behavior ; Surgery ; Temporal lobe</subject><ispartof>Acta neuropsychiatrica, 2011-06, Vol.23 (3), p.119-124</ispartof><rights>Copyright © Cambridge University Press 2011</rights><rights>2011 John Wiley &amp; Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4894-e48f74562d8d3e0b3bb94ebe012aa54fcc534b139f55285ba8cf09286c30eba03</citedby><cites>FETCH-LOGICAL-c4894-e48f74562d8d3e0b3bb94ebe012aa54fcc534b139f55285ba8cf09286c30eba03</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.1601-5215.2011.00544.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0924270800026375/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,1411,27901,27902,45550,45551,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26952898$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shinoura, Nobusada</creatorcontrib><creatorcontrib>Yamada, Ryozi</creatorcontrib><creatorcontrib>Tabei, Yusuke</creatorcontrib><creatorcontrib>Otani, Ryohei</creatorcontrib><creatorcontrib>Itoi, Chihiro</creatorcontrib><creatorcontrib>Saito, Seiko</creatorcontrib><creatorcontrib>Midorikawa, Akira</creatorcontrib><title>Left or right temporal lesion might induce aggression or escape during awake surgery, respectively: role of the amygdala</title><title>Acta neuropsychiatrica</title><addtitle>Acta Neuropsychiatr</addtitle><description>Shinoura N, Yamada R, Tabei Y, Otani R, Itoi C, Saito S, Midorikawa A. Left or right temporal lesion might induce aggression or escape during awake surgery, respectively: role of the amygdala. Objective: Some patients with temporal lobe brain tumours show aggressive or escape behaviour during awake surgery. As the amygdala plays a critical role in coping with stress, we evaluated whether the left or right amygdala was involved in aggressive or escape behaviour in six patients undergoing awake surgery for temporal lobe brain tumours. Methods: Brain tumours were located in the left temporal lobe in cases 1–3 and in the right temporal lobe in cases 4–6. In cases 1, 2, 4 and 5, the tumours invaded the amygdala. Results: In case 1, the patient showed aggressive behaviour before partial removal of the left amygdala during awake surgery; just after partial removal of left amygdala, the patient was calm and cooperative. In case 2, the patient showed aggressive behaviour when the tumour near the left amygdala was removed. In case 3, the patient showed aggressive behaviour when awakening during awake surgery. In case 4, the patient showed escape behaviour when removal of the tumour near the right amygdala was initiated. In cases 5 and 6, patients showed escape behaviour upon awakening and upon initiation of tumour removal from the temporal lobe. 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Left or right temporal lesion might induce aggression or escape during awake surgery, respectively: role of the amygdala. Objective: Some patients with temporal lobe brain tumours show aggressive or escape behaviour during awake surgery. As the amygdala plays a critical role in coping with stress, we evaluated whether the left or right amygdala was involved in aggressive or escape behaviour in six patients undergoing awake surgery for temporal lobe brain tumours. Methods: Brain tumours were located in the left temporal lobe in cases 1–3 and in the right temporal lobe in cases 4–6. In cases 1, 2, 4 and 5, the tumours invaded the amygdala. Results: In case 1, the patient showed aggressive behaviour before partial removal of the left amygdala during awake surgery; just after partial removal of left amygdala, the patient was calm and cooperative. In case 2, the patient showed aggressive behaviour when the tumour near the left amygdala was removed. In case 3, the patient showed aggressive behaviour when awakening during awake surgery. In case 4, the patient showed escape behaviour when removal of the tumour near the right amygdala was initiated. In cases 5 and 6, patients showed escape behaviour upon awakening and upon initiation of tumour removal from the temporal lobe. Conclusion: In conclusion, these results suggest that left or right temporal lesions might induce aggressive or escape behaviour during awake surgery, respectively, and that the amygdala on the respective side may play a role in these behaviours.</abstract><cop>Oxford, UK</cop><pub>Cambridge University Press</pub><pmid>26952898</pmid><doi>10.1111/j.1601-5215.2011.00544.x</doi><tpages>6</tpages></addata></record>
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source Wiley Online Library Journals Frontfile Complete; Cambridge Journals
subjects Aggression
Aggressive behavior
Amygdala
awake surgery
Brain tumors
brain tumour
escape
Escape behavior
Surgery
Temporal lobe
title Left or right temporal lesion might induce aggression or escape during awake surgery, respectively: role of the amygdala
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