The Experts below are selected from a list of 18 Experts worldwide ranked by ideXlab platform

Neil Gordon - One of the best experts on this subject based on the ideXlab platform.

  • Episodic Dyscontrol Syndrome
    Developmental Medicine & Child Neurology, 1999
    Co-Authors: Neil Gordon
    Abstract:

    Episodic Dyscontrol Syndrome may affect both children and adults. Those who treat children with neurological disorders are likely to see patients referred for investigation of outbursts of aggressive behaviour, especially if episodes are possibly of an epileptic nature. This may occasionally be the case, but in some children it seems that their threshold to such behaviour is abnormally low, and this may also result from defects in the biochemistry or structure of the brain. There is nothing calculated about this behaviour, and it cannot be explained by justifiable anger, such as the result of frustration. Boys are affected more frequently than girls, and the Syndrome is more often seen among urban than rural populations. Such outbursts can occur in isolation, but also after a series of minor episodes such as the crying of a younger sibling for nights on end. The outbursts may be very brief or last several hours.

Richard Appleton - One of the best experts on this subject based on the ideXlab platform.

  • Episodic Dyscontrol Syndrome
    Archives of Disease in Childhood, 2010
    Co-Authors: Amy Mctague, Richard Appleton
    Abstract:

    Episodic Dyscontrol Syndrome (EDS) or intermittent explosive disorder (IED) is a clearly identified category in the Diagnostic and Statistical Manual of Mental Disorders ( DSM IV ). It affects children and adults. Children are often considered to have epilepsy or a mental health problem. The episodes comprise of recurrent attacks of uncontrollable rage, usually after minimal provocation, and may last up to an hour. Following an episode, children are frequently exhausted, may sleep and will usually have no recall. These features often raise the possibility of epilepsy, and children may be referred for an electroencephalogram (EEG). An abnormal EEG may subsequently lead to a diagnosis of epilepsy and the prescription of an anticonvulsant. Five patients with EDS are described, all referred to a single neurology clinic with a possible diagnosis of epilepsy, one of whom was being treated with an anticonvulsant. Four had an EEG, which was normal in two patients and showed “abnormalities” in two, leading to an incorrect diagnosis of temporal lobe epilepsy in one patient. All five children responded to psychological (behavioural) intervention. Recognition of the clinical features of IED/EDS should preclude the need for EEG and other investigations in these patients and prompt referral to psychological services.

Amy Mctague - One of the best experts on this subject based on the ideXlab platform.

  • Episodic Dyscontrol Syndrome
    Archives of Disease in Childhood, 2010
    Co-Authors: Amy Mctague, Richard Appleton
    Abstract:

    Episodic Dyscontrol Syndrome (EDS) or intermittent explosive disorder (IED) is a clearly identified category in the Diagnostic and Statistical Manual of Mental Disorders ( DSM IV ). It affects children and adults. Children are often considered to have epilepsy or a mental health problem. The episodes comprise of recurrent attacks of uncontrollable rage, usually after minimal provocation, and may last up to an hour. Following an episode, children are frequently exhausted, may sleep and will usually have no recall. These features often raise the possibility of epilepsy, and children may be referred for an electroencephalogram (EEG). An abnormal EEG may subsequently lead to a diagnosis of epilepsy and the prescription of an anticonvulsant. Five patients with EDS are described, all referred to a single neurology clinic with a possible diagnosis of epilepsy, one of whom was being treated with an anticonvulsant. Four had an EEG, which was normal in two patients and showed “abnormalities” in two, leading to an incorrect diagnosis of temporal lobe epilepsy in one patient. All five children responded to psychological (behavioural) intervention. Recognition of the clinical features of IED/EDS should preclude the need for EEG and other investigations in these patients and prompt referral to psychological services.

Miles E Drake - One of the best experts on this subject based on the ideXlab platform.

  • Medical and neuropsychiatric aspects of lycanthropy
    Journal of Medical Humanities, 1992
    Co-Authors: Miles E Drake
    Abstract:

    The metamorphosis of human beings into wolves is well known in mythology, legend, and scripture, and has been extensively surveyed in history, theology, and literature. Werewolf cases have attracted the attention of both ancient and modern physicians, particularly during the development of modern psychiatry and behavioral neurology. Some writers have suggested that lycanthropes suffered from schizophrenia or had intentionally or involuntarily ingested hallucinogens. Hysteria and affective disorder, either mania or intense depression, could also be invoked as causes. Lycanthropy has often been linked with, and sometimes treated by, henbane and nightshade, and its manifestations could be explained in terms of atropinic delirium. Discoloration of teeth and urine, bizarre behavior, nocturnal wandering, and Episodic skin and facial changes have suggested a role for porphyria in the werewolf transformation. Through many historical periods and cultures, persons believed to be werewolves have reportedly exhibited alterations in consciousness, depersonalization and derealization, acute anxiety and agitation, preoccupation with demonic possession, and compulsive or perseverative behavior, sometimes of a violent, sexually deviant or impulsive nature. Such features of werewolf behavior might also be explained by ictal and interictal manifestations of complex partial seizures, or as symptoms of the Episodic Dyscontrol Syndrome associated with frontal lobe or limbic system disease or injury. Lycanthropy was often considered a manifestation of demonic possession or a consequence or indication of participation in necromancy. As such, self-proclaimed or suspected werewolves were often persecuted along with other practitioners of the black arts. It is generally believed that such persecution represented the last efflorescence of medieval demonology, but it has also been suggested that clinical description of illnesses of diabolical origin was part of the evolution of Renaissance medicine from the Galenic past toward the scientifically-based future.

  • eeg and evoked potentials in Episodic Dyscontrol Syndrome
    Neuropsychobiology, 1992
    Co-Authors: Miles E Drake, Sharon A Hietter, Ann Pakalnis
    Abstract:

    The neurophysiologic correlates of explosive rage and violence are uncertain and controversial. We recorded 17-channel electroencephalograms (EEGs), brainstem auditory-evoked potentials (BAEPs), and l

Ann Pakalnis - One of the best experts on this subject based on the ideXlab platform.