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Right temporal lobe epilepsy surgery activates suppressed post-traumatic stress disorder 31 years after a robbery

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@article{913686ee86954ff9bd7a3d6db72a7e20,
title = "Right temporal lobe epilepsy surgery activates suppressed post-traumatic stress disorder 31 years after a robbery",
abstract = "Hippocampus and amygdala play central roles in the development of post-traumatic stress disorder (PTSD). Changes in neurological structures due to surgery leading to PTSD have previously been reported. In this case, we present a patient that develops PTSD right after epilepsy surgery in the right temporal lobe. The case adds knowledge to the mechanisms of storage of PTSD memories. A 56-year-old male suffering from refractory temporal lobe epilepsy was treated with an anteromesial temporal lobe resection on the right side. A few weeks after the surgery, he developed strong PTSD symptoms. They included flashbacks from a robbery he was subjected to three decades ago when he was 25 years old. In addition, he suffered from hypervigilance, irritability, and avoidance behavior. Psychotherapy eventually eased his symptoms. No previous disorders were recorded. No psychiatry symptoms were present before surgery. This case is one of few reports on the sudden occurrence of PTSD after epilepsy-surgery in the form of right-sided anteromesial temporal lobe resection. The disorder may not have been detected if not included in the Danish Epilepsy-Surgery-Protocol, among them both the pre-surgery psychiatric management and in the post-operative monitoring.",
keywords = "Adult, Amygdala/surgery, Epilepsy, Epilepsy, Temporal Lobe/surgery, Humans, Male, Middle Aged, Stress Disorders, Post-Traumatic/diagnosis, Temporal Lobe/diagnostic imaging",
author = "Haslund-Vinding, {Jeppe Lohfert} and {Balslev J{\o}rgensen}, Martin and Engelmann, {Christina Malling} and Morten Ziebell and Ask Elklit",
note = "{\textcopyright} 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.",
year = "2022",
month = feb,
doi = "10.1007/s00701-021-05091-9",
language = "English",
volume = "164",
pages = "549--554",
journal = "Acta Neurochirurgica",
issn = "0001-6268",
publisher = "Springer Wien",
number = "2",

}

RIS

TY - JOUR

T1 - Right temporal lobe epilepsy surgery activates suppressed post-traumatic stress disorder 31 years after a robbery

AU - Haslund-Vinding, Jeppe Lohfert

AU - Balslev Jørgensen, Martin

AU - Engelmann, Christina Malling

AU - Ziebell, Morten

AU - Elklit, Ask

N1 - © 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.

PY - 2022/2

Y1 - 2022/2

N2 - Hippocampus and amygdala play central roles in the development of post-traumatic stress disorder (PTSD). Changes in neurological structures due to surgery leading to PTSD have previously been reported. In this case, we present a patient that develops PTSD right after epilepsy surgery in the right temporal lobe. The case adds knowledge to the mechanisms of storage of PTSD memories. A 56-year-old male suffering from refractory temporal lobe epilepsy was treated with an anteromesial temporal lobe resection on the right side. A few weeks after the surgery, he developed strong PTSD symptoms. They included flashbacks from a robbery he was subjected to three decades ago when he was 25 years old. In addition, he suffered from hypervigilance, irritability, and avoidance behavior. Psychotherapy eventually eased his symptoms. No previous disorders were recorded. No psychiatry symptoms were present before surgery. This case is one of few reports on the sudden occurrence of PTSD after epilepsy-surgery in the form of right-sided anteromesial temporal lobe resection. The disorder may not have been detected if not included in the Danish Epilepsy-Surgery-Protocol, among them both the pre-surgery psychiatric management and in the post-operative monitoring.

AB - Hippocampus and amygdala play central roles in the development of post-traumatic stress disorder (PTSD). Changes in neurological structures due to surgery leading to PTSD have previously been reported. In this case, we present a patient that develops PTSD right after epilepsy surgery in the right temporal lobe. The case adds knowledge to the mechanisms of storage of PTSD memories. A 56-year-old male suffering from refractory temporal lobe epilepsy was treated with an anteromesial temporal lobe resection on the right side. A few weeks after the surgery, he developed strong PTSD symptoms. They included flashbacks from a robbery he was subjected to three decades ago when he was 25 years old. In addition, he suffered from hypervigilance, irritability, and avoidance behavior. Psychotherapy eventually eased his symptoms. No previous disorders were recorded. No psychiatry symptoms were present before surgery. This case is one of few reports on the sudden occurrence of PTSD after epilepsy-surgery in the form of right-sided anteromesial temporal lobe resection. The disorder may not have been detected if not included in the Danish Epilepsy-Surgery-Protocol, among them both the pre-surgery psychiatric management and in the post-operative monitoring.

KW - Adult

KW - Amygdala/surgery

KW - Epilepsy

KW - Epilepsy, Temporal Lobe/surgery

KW - Humans

KW - Male

KW - Middle Aged

KW - Stress Disorders, Post-Traumatic/diagnosis

KW - Temporal Lobe/diagnostic imaging

UR - http://www.scopus.com/inward/record.url?scp=85122312555&partnerID=8YFLogxK

U2 - 10.1007/s00701-021-05091-9

DO - 10.1007/s00701-021-05091-9

M3 - Journal article

C2 - 34988707

VL - 164

SP - 549

EP - 554

JO - Acta Neurochirurgica

JF - Acta Neurochirurgica

SN - 0001-6268

IS - 2

ER -

ID: 77649230