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Psychosomatic Medicine 18:427-433 (1956)
© 1956 American Psychosomatic Society

Temporal Lobe (Psychomotor) Epilepsy

Report of a Case

NATHANIEL J. LONDON M.D.1, PETER RICHTER M.D.1, and EUGENE L. BLISS M.D.1

1 West Haven Veterans Administration Hospital and Department of Psychiatry, Yale University School of Medicine, New Haven, Conn.

This is a case report of a patient with a slowly growing astrocytoma in the left temporal lobe who was studied psychiatrically and treated psychotherapeutically for II months before the true cause of his temporal seizures was diagnosed. In his case, the temporal lobe lesion contributed to a psychological decompensation.

Psychomotor seizures, in this case, were generally precipitated by emotional upset. Conversely, measures that reduced anxiety diminished the frequency of seizures.

The "psychical" content of the seizures had specific meaning and seemed to be the symbolic representation of crucial psychological conflicts.

Psychotherapy, coupled with hospitalization, proved to be valuable both before and after neurosurgical treatment.

Submitted on June 29, 1955







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Copyright © 1956 by the American Psychosomatic Society