This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Vernon H. Mark, MD
Neurosurgical Service Sears Building, Room 319 Boston City Hospital 818 Harrison Ave Boston, MA 02118

Arch Neurol. 1982;39(6):384-385.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The difficulty in getting statistically significant correlations between limbic epilepsy and episodic aggression was emphasized in the article "Intensive Monitoring of Epileptic Patients With a History of Episodic Aggression" by Drs Ramani and Gumnit in the ARCHIVES (1981;38:570-571).

The significance of their data was restricted by the selection of their patient population. They specifically excluded extremely violent or dangerous patients from admission to their hospital unit. Even if the number of their patients was increased tenfold, prevalence or incidence studies of episodic rage behavior in their patients with limbic epilepsy would be unreliable. One wonders if a similar bias was involved in the study by King and Ajmone Marsan¹ (cited by Drs Ramani and Gumnit as an example of a negative relationship between temporal lobe epilepsy [TLE] and abnormal aggressivity), since a patient with ictal rage² had been rejected by their clinic because of her . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?