Abstract

Many psychiatric disorders are associated with a limbic ictus. The original data to support this hypothesis are studies on patients with chronically implanted subcortical electrodes. Because of the intermittent course of these disorders, I have labeled them Episodic Behavioral Disorders (EBD) and have reviewed the clinical data in support of such a concept for the episodic (atypical) psychoses. 1–3 This is a similar review for another subgroup of the EBD commonly referred to as the Dyscontrol Syndrome (DS). The official DSM-III diagnosis that best fits the DS, is the intermittent explosive disorders, but other DSM-III diagnoses, at least in some instances, may be related to a limbic ictus, e.g., panic disorder and alcohol idiosyncratic intoxication. 4 Clinical vignettes are presented to illustrate the DS associated with a limbic ictus and the response of the DS to drugs which elevate seizural threshold.

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