정신성 및 정신운동성 간질에 있어서의 정신현상

초록

In order to reveal the psychical phenomena of the psychic and psychomotor seizure, 62 cases who were given the diagnosis of the psychic and psychomotor epilepsy at the Neuropsychiatry Department of Woo Sok Hospital, Korea University, Medical College, from Jul. 1965 to Jun. 1974, were investigated in this study. The result were as follows; 1. In the distribution of psychical phenomena, changes in behavior occupied 33.8%, complex hallucinatory experiences 20.9%, perceptual changes 17.7%, changes in emotion 11.3%, changes in self-awareness 9.7%, changes in thought 0.5%. 2. As to the age of onset, 43.6% of total patients had their first attack at the ages between 10 and 19, 24.6% at the ages between 20 and 29. As a consequence, about 70% of total patients and their first attack up to their age of young adult. 3. As to the precipitating factors, the most frequent one was psychic factor and it occupied 33.8% of total patients. 4. The presumed etiological factors which were considered to be associated with the psychic and psychomotor seizure, were ascertained among 35.5% of total patients. Among those factors, the most frequent one was infection and was rated 12.9% of total patients. 5. The cases which were accompained by significant psychiatric findings occupied 43.5% of total patients, no significant psychiatric finding 56.5%. As to the significant psychiatric findings, the most predominant one was depression and it occupied 9.7% of total patients, the next was personality disorder and it occupied 8.1%. 6. Out of the total patients about 56.5% of them had various neurotic personality traits and rest of them had relatively stable personality. The most frequent neurotic trait was quick-tempered and high strung one and it occupied about 38.7% of total patients. 7. The pattern of seizure of the psychomotor type was rated 50.0% of total patients. 8. In all of the cases, abnormal E.E.G. was revealed in 50.0% and the abnormality which is focalized on the temporal lead was 16.1%, the localized abnormal E.E.G. was 24.2% and the generalized was 9.7%. 9. In the proportion of wave patterns of abnormal E.E.G., paroxysmal slow wave was 61.3% of total positive abnormal E.E.G. patients and isolated spike was 19.4%.