{"title":"Postictal psychoses: in comparison with acute interictal psychoses.","authors":"K Kanemoto, J Kawasaki, I Kawai","doi":"10.1111/j.1440-1819.1994.tb03053.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03053.x","url":null,"abstract":"The association between epilepsy and psychosis has attracted considerable attention since the 19th century. While modern research has made great efforts to elucidate the nature of the chronic and acute interictal psycho, observations on postictal psychotic states have been largely ignored. Such authors as Levin et Logsdail et a1.6 and Savard et al.7 are exceptions. They pointed out that postictal psychoses occurred after a lucid interval; postictal psychoses could not be explained simply as a sequel to the impaired consciousness precipitated by the preceding seizures. The present study aims to clarify the salient features of postictal psychoses by comparing postictal and interictal (or alternative) psychoses. sis2 4 8 9","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 2","pages":"209-11"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03053.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18807326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A retrospective study on discontinuation of antiepileptic drugs following seizure remission.","authors":"T Kudo, K Amano, K Yagi, M Seino","doi":"10.1111/j.1440-1819.1994.tb03061.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03061.x","url":null,"abstract":"Since a seizure relapse following the discontinuation of antiepileptic drugs (AEDs) results in psychological suffering and social disadvantages of patients, careful planning is necessary before discontinuing. Reports on the discontinuation of AEDs, particularly concerning adults, are contradictory.2 We retrospectively studied patients with epilepsy whose AEDs had been discontinued following remission of seizures.","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 2","pages":"249-53"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03061.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18808736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y Matsumoto, N Yamada, K Morimoto, Y Shimizu, T Namba, Y Kitamura, S Kuroda
{"title":"Excitatory changes of rat perirhinal cortex by amygdala-kindling: a study with in vitro slice technique.","authors":"Y Matsumoto, N Yamada, K Morimoto, Y Shimizu, T Namba, Y Kitamura, S Kuroda","doi":"10.1111/j.1440-1819.1994.tb03071.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03071.x","url":null,"abstract":"The perirhinal cortex (PRC) is one of the structures of the limbic system which is located near the rhinal fissure (Fig. 1). Kindling is a chronic animal model of epilepsy in which a periodic administration of initially subconvulsive electrical stimuli to a brain structure eventually leads to limbic and clonic motor seizures.’ It has recently been reported that PRC is one of the critical sites for the generation and propagation of kindled seizures. The local application of an NMDA antagonist, ~~-2-amino-5-phosphonova~eric acid (APV), to PRC completely blocked amygdala-kindled seizures.* McIntyre et al . reported the PRCkindling was developed much more rapidly than amygdaloid or pyriform cortical kindling which has previously been considered to be developed most rapidly: We have recently reported the characteristics of unique field potentials in the rat PRC in vitro.6 These potentials have a long duration (>200 ms) and high synchronism submitted to an all-or-none rule. The potentials are ,EPSPs which show suspended depolarization and re-","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 2","pages":"293-8"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03071.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18808744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sociomedical aspects of temporal lobe epilepsy.","authors":"K Hashimoto","doi":"10.1111/j.1440-1819.1994.tb03052.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03052.x","url":null,"abstract":"It is very important to pay attention to psychosocial problems of patients as well as seizures in management of epilepsy. A large number of reports has pointed out social difficulties in patients with epilepsy, but there were few researches on social conditions of them in terms of the type of epilepsies. In this study, the author analyzed the social aspects of people with temporal lobe epilepsy (TLE) and tried to clarify the characteristics of TLE, compared with nontemporal lobe partial epilepsies (NTLE) and idiopathic generalized epilepsies (IGE).","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 2","pages":"205-11"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03052.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18807325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T Mihara, Y Inoue, Y Watanabe, K Matsuda, T Tottori, T Hiyoshi, Y Kubota, K Yagi, M Seino
{"title":"Improvement of quality-of-life following resective surgery for temporal lobe epilepsy: results of patient and family assessments.","authors":"T Mihara, Y Inoue, Y Watanabe, K Matsuda, T Tottori, T Hiyoshi, Y Kubota, K Yagi, M Seino","doi":"10.1111/j.1440-1819.1994.tb03056.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03056.x","url":null,"abstract":"<p><p>In order to evaluate the quality-of-life (QOL) of epilepsy surgery patients, we surveyed patients' degree of life satisfaction and their families' degree of satisfaction with patient's status in a range of domains both pre- and post-operatively. Of 100 patient-family sets of surveys that were mailed out, 93 were completed and returned from patients and 91 from their families. All patients surveyed had temporal lobe epilepsy and had been followed for longer than 2 years after resective surgery. Patients and their families rated overall QOL as having markedly improved following surgery. However, they rated social domains of QOL, including role activities, financial status, and social and family relationships as having improved relatively little. Despite freedom from seizures, a few patients' families were dissatisfied with the patients' post-operative status, primarily for psychosocial reasons. Patients operated on at a later age reported little gains in life satisfaction following surgery. This study supports the conclusion that surgical intervention should occur before patients are subjected to the psychological conflicts and social handicaps associated with chronic intractable epilepsy.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 2","pages":"221-9"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03056.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18808732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Proceedings for the 18th meeting of the Japanese Society of Sleep Research. June 18-19, 1993, Utsunomiya. Abstracts.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 1","pages":"133-92"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18930256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T Okada, S Satoh, N Morita, T Konishi, T Nakamura, H Tanaka, S Oda
{"title":"Cultural anthropology approach to psychopathology of Muslim murderer.","authors":"T Okada, S Satoh, N Morita, T Konishi, T Nakamura, H Tanaka, S Oda","doi":"10.1111/j.1440-1819.1994.tb02999.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb02999.x","url":null,"abstract":"<p><p>We report a case involving a 31-year-old Islamic male who murdered his associate under particular circumstances. We took the opportunity to test psychiatrically this man who has been diagnosed in his mother country as a schizophrenic. He came to Japan and was working as a laborer. He is an earnest practicing Muslim. We took an interest in this case because of his bizarre behavior previous to the actual crime. We are interested in the actual method of the murder in relation to Mr. A's cultural and religious background. We demonstrated the significance of the religious cultural knowledge relative to the indigenous ritual for expelling satan and the Islamic pilgrimage to Mekka (Hajj). We conclude that a cultural anthropological and religious viewpoint is necessary in objectively understanding the sources of suffering in patients with mental illness who are from foreign countries.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 1","pages":"71-5"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb02999.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18929574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A theoretical and neurophysiological consideration on the pathogenesis of positive symptoms of schizophrenia: implications of dopaminergic function in the emotional circuit.","authors":"H Maeda","doi":"10.1111/j.1440-1819.1994.tb03003.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03003.x","url":null,"abstract":"<p><p>The implications of the emotional circuit and the gating mechanism by dopamine (DA) proposed by Maeda in the pathogenesis of positive symptoms of schizophrenia were reconsidered based upon recent advances and findings in the fields of neurophysiology and neuropharmacology and in biological studies of schizophrenia. The gating mechanism by DA was partly supported by new evidence that glutamatergic or GABAergic neurotransmission, which mediates the hippocampo-lateral septal or the piriform cortico-amygdaloid neuronal connections, is likely to be modulated by DA. The compensation-facilitating or gating functions of DA was considered again to play an important role in producing positive symptoms in schizophrenics, who have been suggested to have morphological abnormalities in the limbic system or in the prefrontal cortex prior to the appearance of positive symptoms.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 1","pages":"99-110"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03003.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18928843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Significant predictors for readmission of the severely mentally ill to a provincial hospital: is the efficacy of community care explicit or implicit?","authors":"K Naka, S Inoue","doi":"10.1111/j.1440-1819.1994.tb02996.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb02996.x","url":null,"abstract":"<p><p>The aim of our study was to determine the factors pertaining to the seriously mentally ill patients who were forewarned of readmission to a provincial mental hospital in Vancouver, British Columbia. It is well known that, compared to the psychiatric care delivery systems in Japan, Vancouver and its metropolitan area provide the seriously mentally ill with a much wider range of community mental health programs. Our sample was 161 first admission DSM-II schizophrenic patients to a provincial hospital, who had been followed for five years. A discriminant analysis showed that of the 11 predictive factors selected, such socio-cultural factors as living situations and country of birth were the most significant predictors.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 1","pages":"49-56"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb02996.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18929571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A nationwide survey of day-care for children with mental retardation in Japan.","authors":"H Kurita, J Shiiya, H Ito","doi":"10.1111/j.1440-1819.1994.tb02997.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb02997.x","url":null,"abstract":"<p><p>We conducted the first nationwide survey on day-cares (DCs) for mentally retarded preschoolers in Japan by sending a questionnaire to 686 such facilities, 460 (67.1%) of which responded. There were three types of DCs. Type I was a small facility, financed by a local government but not established by the Child Welfare Act. Type II was a non-residential facility founded by the Act and usually run by a private welfare organization. Type III was a unit in a large rehabilitation center for various handicapped persons established and run by a local government. We proposed a model DC having 9 staff members to be placed nearby consumers to improve the early treatment system for mentally retarded children in Japan.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 1","pages":"57-63"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb02997.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18929572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}