Limbic system dysrhythmia: a diagnostic electroencephalogram procedure utilizing procaine activation.
J Neuropsychiatry Clin Neurosci
; 3(3): 321-9, 1991.
Article
en En
| MEDLINE
| ID: mdl-1821249
ABSTRACT
A diagnostic method is presented that makes it possible to distinguish patients who are most likely to show a positive response to treatment with anticonvulsant medication, thereby cutting across many DSM-III-R diagnoses. Patients are evaluated to determine whether they exhibit at least 4 of 12 groups of symptoms, and the local anesthetic procaine is used, along with an electroencephalogram (EEG) to evaluate for omega band activity (30-50 Hz) of at least 50 microvolts or approximately three times baseline values in the anterior temporal leads. This method was studied in 145 patients with varying diagnoses. Eighty-three percent of patients who were symptom- and procaine-positive responded to anticonvulsants. Specific application to patients with attention-deficit hyperactivity disorder, bipolar disorder, and panic disorder is made. This method may provide a basis for identifying subpopulations of anticonvulsant-responsive patients who often are considered treatment-resistant.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procaína
/
Trastorno por Déficit de Atención con Hiperactividad
/
Trastornos Neurocognitivos
/
Electroencefalografía
/
Epilepsia
/
Sistema Límbico
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Neuropsychiatry Clin Neurosci
Asunto de la revista:
NEUROLOGIA
/
PSIQUIATRIA
Año:
1991
Tipo del documento:
Article