Temporal Lobe Epilepsy Personality Traits
Temporal lobe epilepsy tle is the most common drug resistant epilepsy accounting for 60 of the total 3 4 million people affected by epilepsy in the united states. This is called hippocampal sclerosis sclerosis means hardening or scarring.
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Temporal lobe epilepsy tle is seizure activity affecting the temporal lobe of the brain.
Temporal lobe epilepsy personality traits. Geschwind syndrome includes five primary changes. Structures within the temporal lobes including the hippocampus and amygdala have been implicated in anxiety fear conditioning and emotional memory. The temporal lobes contain the amygdala and other limbic areas that modulate emotion memory and assign emotional valence to environmental stimuli.
Elf present more traits of circumstantiality religiosity and dependency while patients with tle present vital sadness irritability aggressiveness hyposexuality guilt obsessionalism circumstantialities viscosity self appreciation dependency and sobriety than healthy controls. It may look like the hippocampus on one side or both has shrunk or is smaller. Mesial temporal lobe epilepsy is often associated with changes or abnormal findings on mri magnetic resonance imaging.
This is a type of partial seizure meaning it occurs on only one hemisphere of the brain. These traits included deepened emotions circumstantial thought overly detailed with delay in getting to the point increasing concern with philosophical or religious beliefs and a change in sexual behavior. The effect of temporal lobe epilepsy on personality is a historical observation dating to the 1800s.
They found an increased frequency of all 18 traits in patients with tle compared with normal and neurological controls including obsessionality dependency emotionality irritability religiosity and philosophic interest. Geschwind syndrome is a set of behavioural phenomena seen in some people with tle. Between seizures changes in personality which slowly intensify over time.
Personality and behavioural change in temporal lobe epilepsy is seen as a chronic condition when it persists for more than three months. In between groups comparison elf patients differed significantly from tle patients in aggression guilt obsessionalism circumstantiality viscosity religiosity and sobriety. Controversy has endured regarding the specificity of behavioral changes in tle as well as to the relative risk of such changes in patients with tle as compared to patients with other epilepsy syndromes.
Temporal lobe seizures begin in the temporal lobes of your brain which process emotions and are important for short term memory. Some symptoms of a temporal lobe seizure may be related to these functions including having odd feelings such as euphoria deja vu or fear. One of the most common findings is scarring in the temporal lobe.
Temporal lobe epilepsy causes chronic mild interictal i e. Bear and fedio 8 who noted the shortcomings of the mmpi developed the bear fedio inventory bfi a rating scale of 18 behavioural traits that previously had been associated in literature with temporal lobe epilepsy tle. He felt that a number of specific personality characteristics were frequently seen in patients with temporal lobe epilepsy and that they were characteristic of such patients.
Hypergraphia hyperreligiosity atypical usually reduced sexuality circumstantiality and intensified mental life.
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