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August 1970

Episodic Behavioral Disorders: A Psychodynamic and Neurophysiologic Analysis.

Arch Neurol. 1970;23(2):190. doi:10.1001/archneur.1970.00480260096020

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The author begins his book with a review of psychodynamic theories of "acting out," but is principally concerned with the neurophysiologic correlates of some episodic behavioral disorders. On occasion the routine scalp electroencephalogram appears to tell all, as in "petit mal status epilepticus," of which the author gives an all-too-brief account. In other cases the routine recording is noncontributory, and various techniques of activation have had their advocates in an attempt to track down the offending focus, or uncover a neurophysiologic abnormality. Dr. Monroe discusses the technique of alpha-chloralose activation at some length.

Perhaps the most important clinical entity which confronts the clinical neurologist in this area is the paranoid state which frequently supervenes in patients subject to psychomotor epilepsy. This was at one time labeled as paranoid schizophrenia, but probably represents a discrete clinical entity. The high correlation with preceding psychomotor epilepsy, the similar time interval in most cases

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