Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

The clinical and neurophysiological characteristics of the deja vu phenomenon in epilepsy

https://doi.org/10.14412/2074-2711-2012-2491

Full Text:

Abstract

Objective: to study the clinical and neurophysiological characteristics of the deja vu phenomenon in epilepsy.
Patients and methods. The manifestations of the dВjЕ vu phenomenon were compared in 154 examinees in two groups: 1) 139 healthy individuals and 2) 25 patients with epilepsy (mean age 25.17±9.19 years; women, 63.2%) The characteristics of the phenomenon were determined, by questioning the examinees; 12—16-hour ambulatory electroencephalogram (EEG) monitoring was made.
Results. The deja vu phenomenon occurred with cryptogenic and symptomatic focal epilepsy with equal frequency; however, the phenomenon was also seen in the idiopathic generalized form of the latter and could be concurrent virtually with any types of seizures and observed as an individual seizure and in the structure of a partial and secondarily generalized seizure. In epileptic patients, the main clinical characteristics of the deja vu vu phenomenon are its frequency, fear before its onset, and emotional coloring. The most important criterion is a change in the characteristics of deja vu vu: prolongation, more frequencies, and the emergence of negative emotions. On EEG, the phenomenon was characterized by the onset of polyspike activity in the right temporal leads and, in some cases, ended with slow-wave, theta-delta activity in the right hemisphere.

About the Authors

P. N. Vlasov
Department of Nervous Diseases, Therapeutic Faculty, Moscow State University of Medicine and Dentistry
Russian Federation


A. V. Chervyakov
Neurology Research Center, Russian Academy of Medical Sciences, Moscow
Russian Federation


G. R. Drozhzhina
City Clinical Hospital Six, Moscow
Russian Federation


М. V. Antonyuk
City Clinical Hospital Six, Moscow
Russian Federation


N. V. Orekhova
City Polyclinic One Hundred and Eighty, Moscow
Russian Federation


V. V. Gnezditsky
Neurology Research Center, Russian Academy of Medical Sciences, Moscow
Russian Federation


T. Yu. Noskova
Neurology Research Center, Russian Academy of Medical Sciences, Moscow
Russian Federation


P. A. Fedin
Neurology Research Center, Russian Academy of Medical Sciences, Moscow
Russian Federation


References

1. <div><p>Карлов В.А. Современные концепции лечения эпилепсии. Журн невропатол и психиатр 1999;99(5):4–7.</p><p>Hauser W.A., Hesdorffer D.C. Incidence and prevalence. In: Hauser WA, Hesdorffer DC, eds. Epilepsy: frequency, causes and consequences. New York: Demos, 1990;1–51.</p><p>Wiebe S., Bellhouse D.R., Fallahay C., Eliasziw M. Burden of epilepsy: the Ontario Health Survey. Can J Neurol Sci 1999;26:263–70.</p><p>Власов П.Н. Дифференциальная диагностика основных пароксизмальных состояний в практике невролога и терапевта. Фарматека 2008;15:72–8.</p><p>Имам А. Принципы дифференцированной терапии истерических и эпилептических пароксизмов. Мед исслед 2001;1(1):112–3.</p><p>Benbadis S.R., Heriaud L., Tatum W.O. et al. Death, epilepsy and epilepsy surgery: what is more dangerous, intractable seizures or epilepsy surgery. 61st Annual Meeting of American Epilepsy Society, Philadelphia, PA, USA, 2007.</p><p>Литовченко Т.А. Дифференциальная диагностика эпилептических припадков и синкопальных приступов. Междунар неврол журн 2010;4:34.</p><p>Kramer G. Diagnosis and treatment of epilepsies. 13th Congress of the European Federation of Neurological Societies. Teaching Course 8. Florence, 2009;1–21.</p><p>Доброхотова Т.А., Ураков С.В., Чебышева Т.А. Психические нарушения опухолей больших полушарий головного мозга. В кн.: Нейропсихиатрия. М.: Бином, 2006;107–31.</p><p>Киссин М.Я. Клиническая эпилептология. М.: ГЭОТАР-Медиа, 2009;256 с.</p><p>Мищенко Т.С. Синкопальные состояния в практике невролога. Нов мед фарм 2009;277:6–12.</p><p>Panayiotopoulos C.P. Epileptic Syndromes and their Treatment. — Second ed. London: Springer-Velag, 2007;578 p.</p><p>Sierra M., Berrios G.E. The Cambridge Depersonalization Scale: a new instrument for the measurement of depersonalization. Psychiatry Res 2000;93(2):153–64.</p><p>Власов П.Н., Червяков А.В. Значение феномена дежа вю у здоровых. Неврол нейропсихиатр психосом 2009;2:53–7.</p><p>Власов П.Н., Червяков А.В., Ураков С.В. и др. Дереализационные расстройства при объемных образованиях головного мозга в структуре эпилептических припадков. Фарматека 2011;8:74–9.</p><p>Власов П.Н., Червяков А.В., Ураков С.В. и др. Диагностическое значение феномена дежа вю в клинике глиальных опухолей мозга. Неврол нейропсихиатр психосом 2009;3–4:36–41.</p><p>Brown A.S. A review of the deja vu experience. Psychol Bull 2003;129:394–413.</p><p>Spatt J.M.D. Déjà Vu: Possible Parahippocampal Mechanisms J Neuropsychiatr Clin Neurosci 2002;14:6–10.</p><p>Рыбин Д.Н. Ценностно-смысловая детерминация феномена дереализации. Дисс. … канд. психол. наук М.: РГБ, 2005.</p><p>Adachi N., Akanuma N., Ito M. et al. Two forms of déjà vu experiences in patients with epilepsy. Epilepsy Behav 2010;18(3):218–22.</p><p>Bartolomei F., Barbeau E., Gavaret M. et al. Cortical stimulation study of the role of rhinal cortex in déjà vu and reminiscence of memories. Neurology 2004;14(63):858–64.</p><p>Guedj E., Aubert S., McGonigal A. et al. Déjà-vu in temporal lobe epilepsy: metabolic pattern of cortical involvement in patients with normal brain MRI. Neuropsychologia 2010;48(7):2174–81.</p><p>Takeda Y., Kurita T., Sakurai K. et al. Persistent déjà vu associated with hyperperfusion in the entorhinal cortex. Epilepsy Behav 2011;21(2):196–9.</p><p>Ben-Ari Y., Dudek F.E. Primary and secondary mechanisms of epileptogenesis in the temporal lobe: there is a before and an after. Epilepsy Curr 2010;10(5):118–25.</p><p>Ben-Ari Y., Crepel V., Represa A. Seizures beget seizures in temporal lobe epilepsies: the boomerang effects of newly formed aberrant kainatergic synapses. Epilepsy Curr 2008;8:68–72.</p></div><br />


Review

For citations:


Vlasov P.N., Chervyakov A.V., Drozhzhina G.R., Antonyuk М.V., Orekhova N.V., Gnezditsky V.V., Noskova T.Yu., Fedin P.A. The clinical and neurophysiological characteristics of the deja vu phenomenon in epilepsy. Neurology, Neuropsychiatry, Psychosomatics. 2012;4(1S):10-14. (In Russ.) https://doi.org/10.14412/2074-2711-2012-2491

Views: 1039


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)