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Reflex Epilepsy Evoked by Decision Making

Reflex Epilepsy Evoked by Decision Making Abstract A patient had seizures while playing chess or cards or when filling out complex forms, doing complex mathematical problems, and during certain parts of the neuropsychological testing. Seizures were myoclonic and accompanied an electroencephalographic dysrhythmia of the atypical spike and wave type. Evoked seizures were not related to visual, tactile, or auditory stimuli or clues. In chess, seizures occurred when he was on the defense and threatened. Simple decision making or physiologic stress did not evoke seizures nor did nonsequential decision making under verbal pressure. Evoking factors were complex decision making in a sequential fashion and with an element of stress or concern regarding the outcome of the decision making. Stimulus was usually nonverbal. Three major factors—decision complexity, sequential factor, and related stress or concern—may have some reciprocal relationships. References 1. Forster FM: Epilepsy associated with eating . Trans Am Neurol Assoc 96:106-107, 1971. 2. Ch'en H-P, Ch'in C, Ch'u C-P: Chess epilepsy and card epilepsy . Chinese Med J 84:470-474, 1965. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Reflex Epilepsy Evoked by Decision Making

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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1975.00490430076015
Publisher site
See Article on Publisher Site

Abstract

Abstract A patient had seizures while playing chess or cards or when filling out complex forms, doing complex mathematical problems, and during certain parts of the neuropsychological testing. Seizures were myoclonic and accompanied an electroencephalographic dysrhythmia of the atypical spike and wave type. Evoked seizures were not related to visual, tactile, or auditory stimuli or clues. In chess, seizures occurred when he was on the defense and threatened. Simple decision making or physiologic stress did not evoke seizures nor did nonsequential decision making under verbal pressure. Evoking factors were complex decision making in a sequential fashion and with an element of stress or concern regarding the outcome of the decision making. Stimulus was usually nonverbal. Three major factors—decision complexity, sequential factor, and related stress or concern—may have some reciprocal relationships. References 1. Forster FM: Epilepsy associated with eating . Trans Am Neurol Assoc 96:106-107, 1971. 2. Ch'en H-P, Ch'in C, Ch'u C-P: Chess epilepsy and card epilepsy . Chinese Med J 84:470-474, 1965.

Journal

Archives of Neurology – American Medical Association

Published: Jan 1, 1975

References

  • Epilepsy associated with eating
    Forster FM
  • Chess epilepsy and card epilepsy
    Ch 'en H-P, Ch'in C, Ch'u C-P