Twilight State Research Articles

Nonconvulsive Status Epilepticus-Reply

In Reply.— Dr Wells emphasizes another important aspect of nonconvulsive status epilepticus—the occurrence of transient psychotic states associated with electroencephalographic evidence of continuous epileptogenic activity. The clinical manifestations of nonconvulsive status are protean and have been described as twilight states, confusion, crazy behavior, stupor, lethargy, delirium, and psychosis. 1,2 All these clinical presentations of altered behavior have the common feature of sudden onset. Often there is a past history of seizures or other spells. I agree with Dr Wells that only a constant awareness of these conditions and electroencephalographic recordings during these episodes will lead to the proper diagnosis of a nonconvulsive epileptic state.

Toward Black Political Empowerment: Can the System Be Transformed?

Is it fanciful to suggest that this twilight state, with its “two party, no choice system” may yet be susceptible to meaningful political change, borrowing as it does from the energy of agitation barely beneath the surface and from the pull of popular expectations? The millions who believe and insist that this country can become what it has always promised may be the heretofore missing catalytic agent.

Prolonged twilight state and automatisms: a case report.

A prolonged state of mental confusion was associated with a unilateral seizure focus in the left medial anterior temporal lobe in a 39 year old patient with psychomotor status. Two electroclinical phases are differentiated: (1) a continuous twilight state with reactive automatisms interrupted every 10 minutes by (2) staring, total loss of responsiveness, and stereotyped gutomatisms. During the first clinical phase the electroencephalogram showed continuous, focal sharply contoured slow waves in the left anterior temporal areas preponderant medially. During the second clinical phase, 6 to 10 Hz rhythms engaged both medial temporal lobes and then progressively increased in amplitude and decreased in frequency to 3 to 5 Hz waves. A subcortical mechanism is suggested for both reactive and stereotyped automatisms.

Psychiatry of memory disturbances from the viewpoints of information psychology

A survey of the psychiatry of defective memory is given insofar as it deals with the viewpoints of informative psychology. It begins with an introduction to the basic terms of the pathology of memory, which are clearly stated in the Table. Discussing pathological memory defects, special stress is laid on retrograde and other amnesias, twilight states, senile and presenile dementia, Alzheimer's disease and Korsakoff disorders and their relationship to cybernetical theories of memory. In addition, the phenomena of one minute-memory, hypermnesia, so called “Lebensbilderschau” (life panorama) and of memory changes by means of hypnosis are fully discussed.

THERAPY IN HYSTERO‐EPILEPTIC TWILIGHT STATES

Acta Psychiatrica ScandinavicaVolume 40, Issue S186 p. 98-98 THERAPY IN HYSTERO-EPILEPTIC TWILIGHT STATES First published: September 1965 https://doi.org/10.1111/j.1600-0447.1965.tb01891.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume40, IssueS186September 1965Pages 98-98 RelatedInformation

THE PATHOGENESIS OF HYSTERO‐EPILEPTIC TWILIGHT STATES

Acta Psychiatrica ScandinavicaVolume 40, Issue S186 p. 96-97 THE PATHOGENESIS OF HYSTERO-EPILEPTIC TWILIGHT STATES First published: September 1965 https://doi.org/10.1111/j.1600-0447.1965.tb01890.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume40, IssueS186September 1965Pages 96-97 RelatedInformation

D�mmerzust�nde durch Psychopharmaka

Report on twilight states in 3 psychotic non-epileptic patients under treatment with psychotropic drugs (Trifluoperazin + Tranylcypromin, Imipramin + Prothiopendyl, Butyrophenon). Psychotropic drugs can produce epileptic twilight states as well as epileptic convulsions and delirium. This epileptic triad may be observed during treatment with convulsive, i.e. all psychotropic drugs, or as a rebound phenomena during withdrawal of hypnotic-anticonvulsive drugs. The decrease of convulsive threshold, often revealed only by means of the EEG, appears to be a therapeutic principle in every kind of psychiatric somatotherapy. In this connection, we also refer to symptoms of the epileptic triad in ECT and in insulincoma. The therapeutic necessity to decrease the convulsive threshold in the treatment of lucid psychoses (as for instance schizophrenia and the so-called affective psychoses) suggests that these conditions are characterized by an abnormal high convulsive threshold.

Two cases of prolonged epileptic twilight state with almost continuous “wave-spikes”: An electroencephalographic study

Two cases of prolonged epileptic twilight state with almost continuous “wave-spikes”: An electroencephalographic study

Hysterical Twilight States in an Eight-Year-Old Child

Hysterical Twilight States in an Eight-Year-Old Child

Three Ganser States and Hamlet

In 1897 Ganser (1) gave a lecture entitled “Ueber einen eigenartigen hysterischen Dämmerzustand.” This has been translated literally as on “A specific hysterical twilight state,” which we consider unfortunate, as in keeping the words it loses the sense of the original, for the notion of a twilight state remains foreign to us, and is better rendered as a “dimming of consciousness” or “clouding of consciousness.” Further, the concept of hysteria has changed considerably since then and his cases would now be regarded as psychotic.

A case of a peculiar hysterical twilight state

Similarly to the cases of a peculiar twilight state in hysterics described by Dr. Ganser, the author in his article presents a case of the same state observed by him in the psychiatric department of the Odessa City Hospital.