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난치성 간질환자의 간질초점 위치와 정신증상과의 관련성
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  • 난치성 간질환자의 간질초점 위치와 정신증상과의 관련성
  • The Relationship between Epileptic Focus and Psychiatric Symptoms of the Refractory Epileptic Patients
저자명
한우상,김종훈,이상건,조두영,권준수,하규섭,Han. Wou-Sang,Kim. Jong-Hoon,Lee. Sang-Kun,Cho. Doo-Young,Kwon. Jun-Soo,Ha. Kyoo-Seob
간행물명
精神身體醫學
권/호정보
1996년|4권 1호|pp.64-70 (7 pages)
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한국정신신체의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

The prevalence rate of psychiatric symptoms of the refractory epileptic patients was evaluated according to the location of the epileptic focus. The subjects were 91 patients admitted to Epilepsy Monitoring Unit of Seoul National University Hospital. The psychiatric symptoms were assessed by Korean version of Symptom Checklist-90-R(SCL-90-R). The locus of epileptic focus was assessed by clinical features, 2-hour interictal EEG, long-term video-EEG monitoring, brain MRI, interictal and ictal brain SPECT, and interictal brain PET The subjects were divided into three groups according to the epileptic focus, non-temporal(N=29), left temporal (N=26), and right temporal(N=32). There were no statistical differences in demographic and seizure-related variables among groups. The number of patients with $T-score {geq} 65$ at any subscale of the SCL-90-R were compared by $X^2-test$ among groups. The mean T-scores of each subscale of the SCL-90-R were compared by oneway-ANOVA among groups. The prevalence rate of psychiatric symptoms of the refractory epileptic patients was 38.5%. There was no statistical difference in the prevalence rate of psychiatric symptoms among groups. However, the patients with non-temporal or right temporal epileptic foci showed statistically significant higher mean T-scores of interpersonal sensitivity, depression, hostility, and phobic subscales than the patients with left temporal epileptic foci. These results suggest that the epileptic focus plays an important role in the production of interictal psychiatric symptoms of the refractory epileptics.