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NCJ Number: 200423 Find in a Library
Title: Aggression in Temporal Lobe Epilepsy and Limbic Psychotic Trigger Reaction Implicating Vagus Kindling of Hippocampus/Amygdala (in sinus abnormalites on MRIs)
Journal: Aggression and Violent Behavior  Volume:8  Issue:3  Dated:May-June 2003  Pages:245-257
Author(s): Anneliese A. Pontius; Majorie J. LeMay
Editor(s): Vincent B. Van Hasselt; Michel Hersen
Date Published: May 2003
Page Count: 13
Publisher: http://www.elsevier.com/locate/aggviobeh 
Type: Research (Applied/Empirical)
Format: Article
Language: English
Country: United States of America
Annotation: This study focused on a pilot survey contrasting degrees and effects of vagus nerve stimulation in relation to partial seizures with potential aggression and interrelating factors.
Abstract: The vagus is the “great visceral nerve” and constitutes a main portion of the autonomic nervous system, supplying many inner organs. This study contrasted the degrees and effects of vagus nerve stimulation (VNS) and its relationship to seizures with aggression as a potential outcome and interrelated factors. The main tool in detecting “behavioral seizures” in the cases studied has been detailed cognitive clinical evaluation. This is the preferred method, even in temporal lobe epilepsy (TLE). In addition, objective brain tests, such as scalp EEGs and MRIs, have become available for felons in maximum security facilities. The results are based on clinical-cognitive delineation of the consistent and specific cluster of symptoms. TLE was diagnosed in one man charged with exhibitionism and limbic psychotic trigger reaction (LPTR) was proposed as a diagnosis in four men charged with homicide. Attention was drawn to the MRIs of four out of six aggressive felons reflecting recurrent rhinopharyngeal infections and two of the same four MRIs showing signs of brain atrophy. Two of the five felons had an EEG congruent with abnormalities in the temporal lobe area, including the hippocampus and amygdala. The findings have both heuristic and practical implications. It is possible that unexpected, mild, intermittently occurring medical conditions might stimulate limbic or other brain areas. Appendix and references
Main Term(s): Aggression
Index Term(s): Anger; Biological influences; Dangerousness; Medical evaluation; Problem behavior; Violence; Violent inmates; Violent men
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http://www.ncjrs.gov/App/publications/abstract.aspx?ID=200423

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