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Temporal lobe epilepsy, psychopathology, and violence

the state of the evidence.

Departments of Neurology and Psychiatry, University of Oregon Health Sciences Center, Portland, OR and the National Institute of Mental Health, St. Elizabeths Hospital (Dr. Stevens), and the Department of Neurology, University of Illinois at the Medical Center, Chicago, IL (Dr. Hermann).

Several recent reports reaffirm the widespread impression that temporal lobe epilepsy (TLE) is frequently accompanied by psychopathology, violence, or a variety of unpleasant personality traits. However, in most of these studies, appropriate control populations were not used and the specificity of TLE in predisposing to these characteristics was not considered. When appropriate controls are employed, damage or dysfunction in the basal forebrain rather than TLE per se appears to be a significant factor in predisposing to psychopathology associated with epilepsy.

Address correspondence and reprint requests to Dr. Stevens, Departments of Neurology and Psychiatry, University of Oregon Health Sciences Center, Portland, OR 97201.

Dr. Hermann's work was supported in part by Grant No. 05-H-000150-090 from the U. S. Department of Health and Human Services, PHS/ Maternal and Child Health and Planning, Region V.

Accepted for publication December 19, 1980.

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