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Psychiatric complications following SEEG-guided radiofrequency thermocoagulations in patients with drug-resistant epilepsy.
Bregianni, Marianna; Pizzo, Francesca; Lagarde, Stanislas; Makhalova, Julia; Trebuchon, Agnes; Carron, Romain; Soncin, Lisa; Arthuis, Marie; Bartolomei, Fabrice.
Afiliación
  • Bregianni M; APHM, Timone Hospital, Epileptology and Cerebral Rhythmology Department, Marseille, France(1).
  • Pizzo F; APHM, Timone Hospital, Epileptology and Cerebral Rhythmology Department, Marseille, France(1); Aix Marseille University, INSERM, INS, Systems Neuroscience Institute, Marseille, France.
  • Lagarde S; APHM, Timone Hospital, Epileptology and Cerebral Rhythmology Department, Marseille, France(1); Aix Marseille University, INSERM, INS, Systems Neuroscience Institute, Marseille, France.
  • Makhalova J; APHM, Timone Hospital, Epileptology and Cerebral Rhythmology Department, Marseille, France(1); Aix Marseille University, INSERM, INS, Systems Neuroscience Institute, Marseille, France.
  • Trebuchon A; APHM, Timone Hospital, Epileptology and Cerebral Rhythmology Department, Marseille, France(1); Aix Marseille University, INSERM, INS, Systems Neuroscience Institute, Marseille, France.
  • Carron R; APHM, Timone Hospital, Epileptology and Cerebral Rhythmology Department, Marseille, France(1); Aix Marseille University, INSERM, INS, Systems Neuroscience Institute, Marseille, France.
  • Soncin L; Aix Marseille University, INSERM, INS, Systems Neuroscience Institute, Marseille, France.
  • Arthuis M; APHM, Timone Hospital, Epileptology and Cerebral Rhythmology Department, Marseille, France(1).
  • Bartolomei F; APHM, Timone Hospital, Epileptology and Cerebral Rhythmology Department, Marseille, France(1); Aix Marseille University, INSERM, INS, Systems Neuroscience Institute, Marseille, France. Electronic address: fabrice.bartolomei@ap-hm.fr.
Epilepsy Behav ; 156: 109806, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38677102
ABSTRACT
SEEG-guided radiofrequency thermocoagulation (RF-TC) in the epileptogenic regions is a therapeutic option for patients with drug-resistant focal epilepsy who may have or not indication for epilepsy surgery. The most common adverse events of RF-TC are seizures, headaches, somatic pain, and sensory-motor deficits. If RF-TC could lead to psychiatric complications is unknown. In the present study, seven out of 164 patients (4.2 %) experienced psychiatric decompensation with or without memory deterioration after RF-TC of bilateral or unilateral amygdala and hippocampus. The appearance of symptoms was either acute, subacute, or chronic and the symptoms were either transient or lasted for several months. Common features among these patients were female sex, mesial temporal epilepsy, and a pre-existing history of psychological distress and memory dysfunction. Our study highlights the possibility of neuropsychiatric deterioration in specific patients following SEEG-guided RF-TC, despite its rarity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Electrocoagulación / Epilepsia Refractaria Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Epilepsy Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / NEUROLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Electrocoagulación / Epilepsia Refractaria Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Epilepsy Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / NEUROLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos