Dostoevsky's epilepsy induced by television.

Cabrera‐Valdivia, Francisco; Jiménez-Jiménez, F J; Tejeiro, José Barea; Ayuso‐Peralta, Lucía; Vaquero, Antonio; E, García-Albea

doi:10.1136/jnnp.61.6.653

Cited by 11 publications

(7 citation statements)

References 5 publications

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“…This supports the idea that epilepsies have a certain reflex component with whereby a minimal level of functional activation of the epileptogenic (hyperexcitable) zone can trigger the epileptic discharge (Illingworth and Ring, 2013 ; Irmen et al, 2015 ), as especially observed in lateral temporal lobe epilepsies with auditory features, in which noises can trigger seizures (Michelucci et al, 2009 ), or also in the so called hot-water or bathing epilepsy (Bebek et al, 2001 ), in which a pleasurable ictal feeling is triggered by the strong sensory input of a hot bath, and for which abnormal insular activation has been demonstrated in hereditary forms (Nguyen et al, 2015 ). The case described by Cabrera-Valdivia et al ( 1996 ) is interesting in that it links the ecstatic experience to another number of cases with idiopathic generalized epilepsy, which practice a willingly self-induction of absence seizures, e.g., by partial eye closure with upward deviation in front of a bright light, or a flickering television screen of former times (50 Hz), in order to provoke pleasurable seizures (“self-induced photosensitive epilepsy” or “television epilepsy”; Ehret and Schneider, 1961 ; Andermann, 1971 ; Binnie et al, 1980 ; Binnie and Wilkins, 1997 ). Finally, the activation of an underlying more complex specific cognitive network, which would elicit the epileptic discharge, has also been postulated for other idiopathic generalized epilepsies (Wolf, 2015 ).…”

Section: Epileptologic Approach Of Ecstatic Seizuresmentioning

confidence: 96%

“…Up to now, a total of 52 patients experiencing ecstatic auras have been described in the literature (Alajouanine, 1951 ; Penfield and Kristiansen, 1951 ; Mulder and Daly, 1952 ; Subirana and Oller-Daurella, 1953 ; Feindel and Penfield, 1954 ; Williams, 1956 ; Mullan and Penfield, 1959 ; Boudouresques et al, 1972 ; Cirignotta et al, 1980 ; Naito and Matsui, 1988 ; Morgan, 1990 ; Cabrera-Valdivia et al, 1996 ; Vuilleumier et al, 1997 ; Vera et al, 2000 ; Asheim Hansen and Brodtkorb, 2003 ; Isnard et al, 2004 ; Stefan et al, 2004 ; Landtblom, 2006 ; Picard and Craig, 2009 ; Landtblom et al, 2011 ; Picard, 2013 ; Picard et al, 2013b ; Surbeck et al, 2013 ; Ronchi et al, 2015 ). Table 1 summarizes each of these patients together with the essential ecstatic semiology, associated symptoms, results from brain imaging and electroencephalogram (EEG) recording and, when known, the etiology.…”

Section: Epileptologic Approach Of Ecstatic Seizuresmentioning

confidence: 99%

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Ecstatic Epileptic Seizures: A Glimpse into the Multiple Roles of the Insula

Gschwind

Picard

2016

Front. Behav. Neurosci.

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Ecstatic epileptic seizures are a rare but compelling epileptic entity. During the first seconds of these seizures, ecstatic auras provoke feelings of well-being, intense serenity, bliss, and “enhanced self-awareness.” They are associated with the impression of time dilation, and can be described as a mystic experience by some patients. The functional neuroanatomy of ecstatic seizures is still debated. During recent years several patients presenting with ecstatic auras have been reported by others and us (in total n = 52); a few of them in the setting of presurgical evaluation including electrical brain stimulation. According to the recently recognized functions of the insula, and the results of nuclear brain imaging and electrical stimulation, the ecstatic symptoms in these patients seem to localize to a functional network centered around the anterior insular cortex, where we thus propose to locate this rare ictal phenomenon. Here we summarize the role of the multiple sensory, autonomic, affective, and cognitive functions of the insular cortex, which are integrated into the creation of self-awareness, and we suggest how this system may become dysfunctional on several levels during ecstatic aura.

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Section: Epileptologic Approach Of Ecstatic Seizuresmentioning

confidence: 96%

Section: Epileptologic Approach Of Ecstatic Seizuresmentioning

confidence: 99%

Ecstatic Epileptic Seizures: A Glimpse into the Multiple Roles of the Insula

Gschwind

Picard

2016

Front. Behav. Neurosci.

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“…Diversos casos de epilepsia com aura de prazer são relatados na literatura 16,[20][21][22][23] , dentre os quais se destaca o relatado por Cirignotta et al 20 , o primeiro a registrar por eletroencefalografia a descarga epiléptica no lobo temporal.…”

Section: Epilepsia E Alterações Comportamentaisunclassified

Príncipe Liev Nikoláievitch Míchkin ("O Idiota", Fiódor Dostoevsky) e a síndrome de personalidade interictal na epilepsia do lobo temporal

Souza

Mendes

2004

Arq. Neuro-Psiquiatr.

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RESUMO -A obra do romancista russo Fiódor Dostoevsky (1821-1881), além de seu extraordinário valor literário, reveste-se de importância especial para neurologistas e epileptologistas. O escritor, que era portador da enfermidade, transmitiu através de seus textos o universo do epiléptico e a maneira como esse é percebido pela sociedade. Seus livros tiveram grande influência na maneira como a cultura ocidental percebe a doença. O romance "O Idiota" tem como protagonista o Príncipe Liev Nikoláievitch Míchkin, um epiléptico com personalidade marcante. Considerando a proposta feita por Geschwind-Waxman (1975) de síndrome de personalidade interictal na epilepsia do lobo temporal, este artigo pretende discutir as alterações comportamentais no paciente epiléptico a partir de Míchkin, personagem principal de "O Idiota", de Fiódor Dostoevsky.PALAVRAS-CHAVE: epilepsia temporal, Dostoevsky, síndrome de personalidade interictal, síndrome de Geschwind-Waxman.Prince Liev Nikoláievitch Míchkin ("The Idiot", Fiódor Dostoevsky) and the interictal personality syndrome of temporal lobe epilepsy ABSTRACT -Russian romancist Fiódor Dostoevsky's composition, besides its extraordinary literary value, has a special importance for neurologists and epileptologists. The writer, who suffered of epilepsy, transmitted in his texts the epileptic's universe and how the pacient is perceived by the society. His novels had great influence on how epilepsy is perceived by western culture.The romance "The Idiot" has as protagonist Prince Liev Nikoláievitch Míchkin, a epileptic with remarkable personality. Considering the propose made by Geschwind-Waxman (1975) of a interictal personality syndrome in temporal lobe epilepsy, this article intends to discuss the behavioral alterations in epileptic patient, from Míchkin, the main character in Fiódor Dostoevsky's "The Idiot". KEY WORDS: temporal epilepsy, Dostoevsky, interictal personality syndrome, Geschwind-Waxman syndrome.Aparentemente díspares e imiscíveis entre si, arte e ciência compartilham em suas naturezas ampla interface de similaridades: ambas só têm sentido quando situadas dentro de contexto histórico específico; ambas podem abordar o mesmo fenômeno, a mesma verdade, identificando-os, descrevendo-os e interpretando-os, embora de maneira essencialmente distintas. A relação entre arte e ciência pode ser entendida como de complementaridade, e não de simples antagonismo.A obra do romancista russo Fiódor Mikháilovitch Dostoevsky (1821-1881) é emblemática em ilustrar o quanto a arte pode complementar à ciência o nosso entendimento da epilepsia. Os romances do autor, dentre os quais se destacam "Crime e Castigo", "Os Irmãos Karamázovi" e "O Idiota", são marcados pela excelência na descrição psicológica dos personagens, pelo profundo sentimento religioso e pelas reflexões filosóficas. Há, ainda, um outro traço recorrente nos textos do escritor: a epilepsia. O escritor, que sofreu da enfermidade durante várias décadas, traduziu em sua literatura o universo do epiléptico, sua personalidade e a maneira com...

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“…As Cabrera-Valdivia et al 1 suggest, ecstatic experiences during spontaneous epileptic seizures are exceedingly rare. Intensely pleasurable experiences are, however, common in self induced seizures, as in the patient whom they describe.…”

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confidence: 99%