scholarly journals When a Doctor Becomes a Patient with a Mystery Illness: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Brit Haver

Symptoms presenting as mental disorders may represent epileptic discharges, especially from the temporal lobe. Both mental and somatic symptoms are common in temporal lobe epilepsy, which may confuse doctors, leading to extensive medical examinations and tests, false diagnoses, and ineffective treatment. Also, the episodic nature and variety of symptoms between as well as in individual cases hinder correct diagnosis. Since epileptic discharges may be visible on EEG only during an epileptic fit—and may need highly specialized equipment to detect—many cases are undiagnosed or treated under false diagnoses. The author believes that undetected temporal lobe epilepsy falsely labelled as psychiatric disorders are common. Specific and effective treatment exists for temporal lobe epilepsy, making correct diagnosis important. This history—based on the author's personal experience—also illustrates aspects of the physician-patients' problems and resources, as well as the gap between somatic and psychiatric medicine concerning this rather common neuropsychiatric disorder.

2020 ◽  
Vol 11 (1) ◽  
pp. 90-95
Author(s):  
Goran Popović ◽  
Ranka Mirković ◽  
Dejan Bokonjić ◽  
Biljana Milinković ◽  
Tatjana Gavrilović-Elez

Introduction. Deja vu (franc. Déjà vu) is a phenomenon experienced by two thirds of all people. However, this phenomenon can follow aura during the temporal lobe epilepsy. It is believed that it originates from hippocampus, which plays a major role in generating epileptic discharges. Some authors emphasize that in these patients déjà vu phenomenon is not an aura but rather it sometimes refers to the attack itself. Method. In this case report, an eightyear-old girl suffering from repeated crisis of consciousness is described. Case report. The aim of the study was to present the case of an eightyearold girl who underwent three crisis of consciousness, headache behind the forehead as well as the repeated déjà vu phenomenon. The girl was hospitalized, after which medical history was taken and physical examination, as well as other diagnostic tests, were performed. EEG recording revealed an increased electrocortical epileptic activity above the right frontotemporal region. An antiepileptic therapy (Karbapin) leading to attack control was introduced. Conclusion. It is necessary to give temporal lobe epilepsy in children with déjà vu phenomenon serious consideration.


2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098281
Author(s):  
Liang Zhang ◽  
Hao Yu ◽  
Dan Li ◽  
Hui Qian ◽  
Yuchao Chen

Epilepsy is a chronic neurological disorder that is characterized by episodes of seizure. Sexual dysfunction has been reported in patients with seizure, which mostly manifests as erectile dysfunction and premature ejaculation in men. In this study, we report the case of a 65-year-old Chinese man with frequent spermatorrhea. Electroencephalography suggested local epilepsy in the left temporal lobe. After treatment with anti-epilepsy drugs, the symptoms disappeared and did not recur. To the best of our knowledge, this is the first reported case of epilepsy-induced spermatorrhea. The symptoms of spermatorrhea are probably a rare manifestation of seizure. When repetitive stereotyped symptoms occur, seizure should be considered, and tentative anti-epileptic treatment may be a good option.


2014 ◽  
Vol 23 (9) ◽  
pp. 744-749
Author(s):  
Masaki Iwasaki ◽  
Kazutaka Jin ◽  
Kazuhiro Kato ◽  
Shin-ichiro Osawa ◽  
Yoshiteru Shimoda ◽  
...  

2018 ◽  
Vol 81 (4) ◽  
pp. 203-210
Author(s):  
D.A. Manjarrez-Garduño ◽  
D. Trejo-Martínez ◽  
A.J. Nuche-Bricaire ◽  
F. Velasco ◽  
G. Aguado-Carrillo ◽  
...  

2019 ◽  
pp. 1
Author(s):  
Min Hsu ◽  
Hsiu Hung ◽  
Tsui Hung ◽  
Chung Yeh

2011 ◽  
Vol 1 (4) ◽  
pp. 162
Author(s):  
Bulent Bahceci ◽  
Ayse Koroglu ◽  
Hulya Guveli ◽  
Cicek Hocaoglu ◽  
Murat Aslan ◽  
...  

2013 ◽  
Vol 6 (4) ◽  
pp. 925-928 ◽  
Author(s):  
KANG YANG ◽  
JING SU ◽  
ZENGCHUN HU ◽  
RUI LANG ◽  
XU SUN ◽  
...  

1968 ◽  
Vol 2 (3) ◽  
pp. 155-157
Author(s):  
Sidney Bloch

A case report is presented to illustrate problems in managing the schizophrenia-like psychosis of temporal lobe epilepsy. In this patient, leucotomy was the only effective treatment.


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