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Letters   |    
Loss of Emotional Responsiveness Secondary to Left Amygdalohippocampectomy Performed for the Treatment of Complex, Drug-Resistant Partial Epilepsy
Justine Hequette; Pauline Narme; Bertille Perin; Olivier Godefroy; Gwenolé Loas
The Journal of Neuropsychiatry and Clinical Neurosciences 2013;25:E55-E59. doi:10.1176/appi.neuropsych.12080195
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Emergency Dept. Philippe Pinel Hospital Amiens, France

Correspondence: Dr. Hequette; e-mail: hequette.justine@gmail.com

Copyright © 2013 American Psychiatric Association


To the Editor: Partial complex temporal epilepsy of adolescents and young adults is frequently due to hippocampal sclerosis. Partial complex temporal seizures are characterized by sudden onset and transient disorders of consciousness. In addition to disorders of consciousness, motor stereotypies, hallucinations (olfactory, gustatory, somatosensory, and auditory), delusions, and cognitive and affective signs can also be observed, making temporal lobe epilepsy one of the differential diagnoses of psychosis. However, temporal lobe epilepsy and psychosis are often comorbid conditions.1

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FIGURE 1. Brain MRI Axial Plane T2-Weighted Sequence

Arrows indicate signal change in the left temporo-polar (top left image), hippocampus-amygdala (lower image), and lateral temporal (top right image) regions.

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TABLE 1.Neuropsychological Performance
Table Footer Note

* performance impaired at the 5% level.



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