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Reduction in apathy following epilepsy surgery
| Content Provider | Scilit |
|---|---|
| Author | Mah, Linda Swearer, Joan Phillips, Catherine A. Benjamin, Sheldon |
| Copyright Year | 2019 |
| Description | Introduction: Surgical treatment for patients with epilepsy who do not respond to antiepileptic medication can lead to changes in behavior, including new onset of neuropsychiatric symptoms such as depression and anxiety. In other cases, neuropsychiatric symptoms present before surgery may be alleviated. Because application of diagnostic criteria for primary psychiatric disorders may not be valid in assessing behavior in epilepsy populations, we sought to determine the feasibility of measuring behaviors associated with frontal-subcortical dysfunction using the Frontal Systems Behavior Scale (FrSBe) in patients who had received surgical intervention for medically refractory epilepsy. Materials and methods: Twenty-three patients who had previously undergone epilepsy surgery and their family member informants completed the FrSBe. The FrSBe includes separate forms for patients and informants to rate symptoms associated with three frontal lobe syndromes – executive dysfunction, disinhibition, and apathy – prior to and following a neurological condition. Patients and informants were asked to rate frontal lobe behaviors before and after epilepsy surgery using the FrSBe. Results: Informants rated patients as showing a significantly greater reduction in apathy on the FrSBe compared to either disinhibition or executive dysfunction subscales. A trend in reduction of apathy following right hemisphere resection was found. Conclusions: Patients who have undergone epilepsy surgery show a reduction in apathy but it is unclear whether this behavioral change is directly related to the surgical intervention. We suggest that these preliminary findings support the utility of implementing dimensional scales such as the FrSBe to study behavioral changes following epilepsy surgery. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6607980/pdf https://www.dovepress.com/getfile.php?fileID=50762 |
| Ending Page | 1684 |
| Page Count | 6 |
| Starting Page | 1679 |
| ISSN | 11766328 |
| e-ISSN | 11782021 |
| DOI | 10.2147/ndt.s189603 |
| Journal | Neuropsychiatric disease and treatment |
| Volume Number | 15 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2019-06-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Neuropsychiatric Disease and Treatment Rehabilitation Apathy Disinhibition Epilepsy Surgery Frontal Lobe Motivation Temporal Lobe Epilepsy |
| Content Type | Text |
| Resource Type | Article |
