Über den Wahn bei Epilepsie

Gruhle, Hans W.

doi:10.1007/bf02865806

Cited by 18 publications

(6 citation statements)

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“…Among 312 patients with epilepsy who had a history of ictus‐unrelated psychosis, 23 (6.8%) patients had psychosis antedating the development of epilepsy. Our findings are comparable to those in early German studies (Krapf, 1928; Glaus, 1931; Gruhle, 1935) reporting that 8–17% of patients with a history of both epilepsy and psychosis exhibited psychosis first, although the prevalence from their multiple case report approaches might not be totally accurate. Because the prevalence of Psychosis‐Epilepsy may be higher than generally thought, it is worth clarifying its clinical characteristics.…”

Section: Discussionsupporting

confidence: 76%

“…In recent literature, Epilepsy‐Psychosis has been vigorously studied as a condition likely associated with epilepsy‐related processes (Trimble & Schmitz, 1997), whereas Psychosis‐Epilepsy was often regarded as a consequence of iatrogenic factors such as side effects from antipsychotic drugs (APDs) (Itil & Soldatos, 1980; Hedges et al., 2003) or mere coincidence of the two conditions despite a comparatively high prevalence of spontaneous seizures in patients with schizophrenia in the period prior to the development of modern APDs (Esser, 1938; Yde et al., 1941). Interestingly, little attention has been paid to classical studies in that psychosis antedating epilepsy was considered as a variant of epilepsy‐related psychoses (so called epilepsy psychoses) (Krapf, 1928; Glaus, 1931; Gruhle, 1935). Recent large studies have shown that not only epileptic factors but also nonepileptic factors are associated with the development of “Epilepsy‐Psychosis” (Adachi et al., 2002; Qin et al., 2005; Adachi et al., 2010).…”

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confidence: 99%

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Analogy between psychosis antedating epilepsy and epilepsy antedating psychosis

et al. 2011

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Summary Purpose: Patients with recurrent epileptic seizures after the development of psychosis (Psychosis‐Epilepsy) have been regarded as belonging to a different clinical entity from those with epilepsy antedating the development of psychosis (Epilepsy‐Psychosis). However, clinical characteristics of patients with Psychosis‐Epilepsy have not been well described, except for early German studies. We aimed to estimate the reliability of distinction between Psychosis‐Epilepsy and Epilepsy‐Psychosis by comparing their clinical characteristics. Methods: Among 312 patients with epilepsy and psychosis enrolled in this multicenter study, 23 patients had Psychosis‐Epilepsy and 289 patients had Epilepsy‐Psychosis (i.e., interictal psychosis). Demographic (i.e., sex, age at time of evaluation, and intellectual functioning), psychiatric (i.e., age at onset of psychosis, subtype of psychosis, duration of psychotic episode, and a family history of psychosis), and epileptic (i.e., age at onset of epilepsy, subtype of epilepsy, seizure type, and a family history of epilepsy) characteristics of both groups were compared. Key Findings: Clinical characteristics, either in their psychoses or epilepsies, except for age‐related variables, were equivalent between patients with Psychosis‐Epilepsy and those with Epilepsy‐Psychosis. Time intervals between onset of psychosis and that of epilepsy in the two groups showed a normal distribution curve. Significance: The presence of many common features and the linear distribution of the time intervals did not fully support that Psychosis‐Epilepsy and Epilepsy‐Psychosis were two distinctly different entities. Among certain patients who have genetic vulnerabilities to both psychoses and seizures, psychosis may develop either antedating or postdating the development of epilepsy. These findings may suggest a necessary reconceptualization of psychoses in epilepsy.

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Section: Discussionsupporting

confidence: 76%

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confidence: 99%

Analogy between psychosis antedating epilepsy and epilepsy antedating psychosis

et al. 2011

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“…It has repeatedly been pointed out in the literature that schizophrenia (particularly that of the paranoid type) and psychotic states occurring in an epileptic setting are clinically almost indistinguishable [Gruhle, 1936;Gibbs, 1951;Janjarik, 1955;Pond, 1957;Slater et al, 1963]. Under this light it is interesting that the majority of our patients were schizophrenics, mainly of the paranoid type.…”

Section: Discussionmentioning

confidence: 77%

Delusional Misidentification Syndromes and Cerebral ‘Dysrhythmia’

Christodoulou¹,

Malliara-Loulakaki²

1981

Psychopathology

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Electroencephalographic investigation of 21 patients with delusional misidentification syndromes (11 with the syndrome of Capgras, 7 with the syndrome of Frégoli, 2 with the syndrome of intermetamorphosis and 1 with the syndrome of subjective doubles) revealed a high abundance and severity of abnormalities. The findings are discussed within the framework of a possible organic (and more specifically dysrhythmic) contribution to the pathogenesis of these syndromes.

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“…Time and again in the pursuit of a detailed anamnesis, one encounters Jaspers' 'unintelligibility theorem'. The description of the development of delusions makes clear the importance of identifying qualitative chance in the experience of the delusion victim [8,32].…”

Section: Discussionmentioning

confidence: 99%

A Case of Paranoia with Severe Consequences

Richartz¹,

Wormstall²

2001

Psychopathology

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Following a brief resume of the history of the notion of paranoia, we present the case history of a 67-year-old female patient, who suffered from irreversible physical handicap as a result of chronic delusion. Against the background of the on-going controversy about the existence of paranoia as a distinct illness, we discuss the contemporary understanding of delusional disorders, emphasising the importance of a multidimensional therapeutic approach.

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Über den Wahn bei Epilepsie

Cited by 18 publications

References 0 publications

Analogy between psychosis antedating epilepsy and epilepsy antedating psychosis

Analogy between psychosis antedating epilepsy and epilepsy antedating psychosis

Delusional Misidentification Syndromes and Cerebral ‘Dysrhythmia’

A Case of Paranoia with Severe Consequences

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