
Research view
Title: | Neurophysiological substrate of obsessive compulsive disorder: an evidence from topographic EEG |
Author: | A. Okasha and M Raafat |
Abstract: |
Obsessive- compulsive disorder has recently been found to be associated
with various biochemical markers; this has revived interest in its biological
tasis. Most of the work to date has emphasized on the role of neurotransmitters
involved and neurophysiological arousal.
In this presentation, evidence from electrophysiological study: Topographic
EEG mapping, has focussed on a possible left hemispheric dysfunction
associated with this disorder. Thirty patients diagnosed as primary obsessional
disorder according to DSM - 111 R, were examined by a
t~pographic EEG. Their age ranged between 16 - 45 years, with a mean of
32. 1 years; 19 were males and 11 females. 50 % of our patients (15 cases)
showed evidence of left hemispheric dysfunction where two had hyperactive
foci in the temporal region. 20 % (6cases) showed evidence of right hemispheric
involvement;: 4had a right hemispheric dysfunction and two had right
hemispheric hyperarousal. 10% (3cases) had normal records; 13.3% (4cases)
slowed generalized cerebral dysfunction and 6.7% (2 cases) had borderline
rxords. Our results indicate a more significant association between the left
hemisphere and the obsessional symptomatology.
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Journal: | Egypt J Psychiatr 13:97–106 |
Text: | |
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