PMID: 2510965Nov 1, 1989Paper

Dyscontrol syndrome: long-term follow-up

Comprehensive Psychiatry
R R Monroe

Abstract

This is a 38- to 57-month follow-up of 50 patients referred for drug-activated electroencephalograms (EEG) because of the suspicion that a limbic complex partial seizure was a crucial mechanism behind their episodic behavior. Hence, an anticonvulsant regimen might be an effective therapeutic option. The primary referral diagnoses were intermittent explosive disorder (N = 33) panic disorder (N = 6), or formes frustes of epilepsy (N = 11). None of the patients had a significant history of typical seizures and previous routine EEGs had all been normal. Twenty nine patients also had a second axis I and three a second axis II diagnosis. On the basis of EEG findings, as well as a symptom checklist of dyscontrol behavior and a history of episodic disorders, I recommended an anticonvulsant regimen in 39 patients; this was initiated by the referring psychiatrist in 25. Of the 11 patients for whom no anticonvulsant was recommended, three were nevertheless placed on such a regimen. At the end of the follow-up period, 12 patients were still on this regimen, eight were on other regimens that probably raised seizural thresholds, and 10 were treated with antidepressants, antimanic, antipsychotic, or anti-anxiety medications. Twenty were not r...Continue Reading

References

Jan 1, 1977·The Journal of Nervous and Mental Disease·E R Tunks, S W Dermer
Feb 1, 1975·The Journal of Nervous and Mental Disease·R R Monroe
Jan 1, 1988·Hospital & Community Psychiatry·B Eichelman
Jul 1, 1988·The British Journal of Psychiatry : the Journal of Mental Science·J L Herzberg, P B Fenwick
Apr 1, 1988·Hospital & Community Psychiatry·V M Neppe, G J Tucker
Apr 1, 1988·Journal of Clinical Psychopharmacology·F R FrankenburgJ F Lipinski
Jun 1, 1986·The Journal of Nervous and Mental Disease·G J TuckerT McAllister
Sep 1, 1985·Comprehensive Psychiatry·R R Monroe
Aug 1, 1959·A.M.A. Archives of General Psychiatry·R R MONROE

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Citations

Feb 7, 1997·Psychiatry Research·M T WongR Badawi
Jan 1, 2003·Neuropsychological Rehabilitation·Peter Eames Eames, Rodger Ll Wood

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