Post-traumatic Stress Disorder With Flashbacks of an Old Childhood Memory Triggered by Right Temporal Lobe Epilepsy Surgery in Adulthood
BackgroundA plethora of data show that the hippocampus and the amygdala are involved in post-traumatic stress disorder (PTSD). Neural dysfunctions leading to PTSD (e.g. how the amygdala and the hippocampus are altered) are only partially known. The unusual case of a patient presenting with refractor...
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Frontiers Media S.A.
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00351/full |
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doaj-95724dc505e94d72ac766e109b362a302020-11-25T03:47:01ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-04-011110.3389/fpsyt.2020.00351498416Post-traumatic Stress Disorder With Flashbacks of an Old Childhood Memory Triggered by Right Temporal Lobe Epilepsy Surgery in AdulthoodAntoine Yrondi0Luc Valton1Luc Valton2Viviane Bouilleret3Nozar Aghakhani4Jonathan Curot5Jonathan Curot6Philippe Jean Birmes7Service de Psychiatrie et de Psychologie Médicale, Centre Expert Dépression Résistante FondaMental, CHU de Toulouse, Hôpital Purpan, ToNIC, Toulouse NeuroImaging Center, Université de Toulouse, Inserm, UPS, Toulouse, FranceExplorations Neurophysiologiques, Hôpital Pierre Paul Riquet, CHU Purpan, Toulouse, FranceCentre de Recherche Cerveau et Cognition, University of Toulouse, Centre National de la Recherche Scientifique CerCo, Toulouse, FranceService de Neurophysiologie Clinique et D'épileptologie, Hôpitaux Universitaires Paris-Sud, Assistance Publique-Hôpitaux de Paris, Le Kremlin-Bicêtre, FranceService de Neurochirurgie, Hôpitaux Universitaires Paris-Sud, Assistance Publique-Hôpitaux de Paris, Le Kremlin-Bicêtre, FranceExplorations Neurophysiologiques, Hôpital Pierre Paul Riquet, CHU Purpan, Toulouse, FranceCentre de Recherche Cerveau et Cognition, University of Toulouse, Centre National de la Recherche Scientifique CerCo, Toulouse, FranceToulouse NeuroImaging Center, Université de Toulouse, Inserm, UPS, Toulouse, FranceBackgroundA plethora of data show that the hippocampus and the amygdala are involved in post-traumatic stress disorder (PTSD). Neural dysfunctions leading to PTSD (e.g. how the amygdala and the hippocampus are altered) are only partially known. The unusual case of a patient presenting with refractory epilepsy and developing PTSD immediately after surgery is described. Such symptoms in epileptic patients may help to explore PTSD mechanisms.Case reportA 41-year-old male suffering from partial refractory temporal lobe epilepsy was operated in May 2017. A right amygdala, hippocampus, and temporal pole selective resection was performed. He experienced intense PTSD symptoms 1 month after surgery. He complained about repetitive intrusive memories of abuse. The PTSD checklist score was equal to 62/80. He reported a history of childhood abuse: physical and emotional abuse as well as emotional negligence, assessed with the Childhood Trauma Questionnaire. No other medical history was recorded. He never complained about PTSD or any other psychiatric symptoms before surgery.Conclusionthis case indicates that PTSD may occur after temporal lobe epilepsy surgery and may specifically stem, as in this context, from the excision of part of the medial temporal lobe structures. Although rarely reported, PTSD may be undiagnosed when not selectively detected via multi-disciplinary neurological and psychiatric management, in the preoperative period and the immediate and delayed postoperative period.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00351/fullPTSD (post traumatic stress disorder)epilepsysurgeryhospitalchildhood traumaCTQ |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Antoine Yrondi Luc Valton Luc Valton Viviane Bouilleret Nozar Aghakhani Jonathan Curot Jonathan Curot Philippe Jean Birmes |
| spellingShingle |
Antoine Yrondi Luc Valton Luc Valton Viviane Bouilleret Nozar Aghakhani Jonathan Curot Jonathan Curot Philippe Jean Birmes Post-traumatic Stress Disorder With Flashbacks of an Old Childhood Memory Triggered by Right Temporal Lobe Epilepsy Surgery in Adulthood Frontiers in Psychiatry PTSD (post traumatic stress disorder) epilepsy surgery hospital childhood trauma CTQ |
| author_facet |
Antoine Yrondi Luc Valton Luc Valton Viviane Bouilleret Nozar Aghakhani Jonathan Curot Jonathan Curot Philippe Jean Birmes |
| author_sort |
Antoine Yrondi |
| title |
Post-traumatic Stress Disorder With Flashbacks of an Old Childhood Memory Triggered by Right Temporal Lobe Epilepsy Surgery in Adulthood |
| title_short |
Post-traumatic Stress Disorder With Flashbacks of an Old Childhood Memory Triggered by Right Temporal Lobe Epilepsy Surgery in Adulthood |
| title_full |
Post-traumatic Stress Disorder With Flashbacks of an Old Childhood Memory Triggered by Right Temporal Lobe Epilepsy Surgery in Adulthood |
| title_fullStr |
Post-traumatic Stress Disorder With Flashbacks of an Old Childhood Memory Triggered by Right Temporal Lobe Epilepsy Surgery in Adulthood |
| title_full_unstemmed |
Post-traumatic Stress Disorder With Flashbacks of an Old Childhood Memory Triggered by Right Temporal Lobe Epilepsy Surgery in Adulthood |
| title_sort |
post-traumatic stress disorder with flashbacks of an old childhood memory triggered by right temporal lobe epilepsy surgery in adulthood |
| publisher |
Frontiers Media S.A. |
| series |
Frontiers in Psychiatry |
| issn |
1664-0640 |
| publishDate |
2020-04-01 |
| description |
BackgroundA plethora of data show that the hippocampus and the amygdala are involved in post-traumatic stress disorder (PTSD). Neural dysfunctions leading to PTSD (e.g. how the amygdala and the hippocampus are altered) are only partially known. The unusual case of a patient presenting with refractory epilepsy and developing PTSD immediately after surgery is described. Such symptoms in epileptic patients may help to explore PTSD mechanisms.Case reportA 41-year-old male suffering from partial refractory temporal lobe epilepsy was operated in May 2017. A right amygdala, hippocampus, and temporal pole selective resection was performed. He experienced intense PTSD symptoms 1 month after surgery. He complained about repetitive intrusive memories of abuse. The PTSD checklist score was equal to 62/80. He reported a history of childhood abuse: physical and emotional abuse as well as emotional negligence, assessed with the Childhood Trauma Questionnaire. No other medical history was recorded. He never complained about PTSD or any other psychiatric symptoms before surgery.Conclusionthis case indicates that PTSD may occur after temporal lobe epilepsy surgery and may specifically stem, as in this context, from the excision of part of the medial temporal lobe structures. Although rarely reported, PTSD may be undiagnosed when not selectively detected via multi-disciplinary neurological and psychiatric management, in the preoperative period and the immediate and delayed postoperative period. |
| topic |
PTSD (post traumatic stress disorder) epilepsy surgery hospital childhood trauma CTQ |
| url |
https://www.frontiersin.org/article/10.3389/fpsyt.2020.00351/full |
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