Psychiatric comorbidities in temporal lobe epilepsy: Possible relationships between psychotic disorders and involvement of limbic circuits

Objective: Mounting evidence suggests that the limbic system is pathologically involved in cases of psychiatric comorbidities in temporal lobe epilepsy (TLE) patients. Our objective was to develop a conceptual framework describing how neuropathological and connectivity changes might contribute to the development of psychosis and to the potential neurobiological mechanisms that cause schizophrenia-like psychosis in TLE patients. Methods: In this review, clinical and neuropathological findings, especially brain circuitry of the limbic system, were examined together to enhance our understanding of the association between TLE and psychosis. Finally, the importance of animal models in epilepsy and psychiatric disorders was discussed. Conclusions: TLE and psychiatric symptoms coexist more frequently than chance would predict. Damage and deregulation among critical anatomical regions, such as the hippocampus, amygdala, thalamus, and the temporal, frontal and cingulate cortices, might predispose TLE brains to psychosis. Studies of the effects of kindling and injection of neuroactive substances on behavior and electrophysiological patterns may offer a model of how limbic seizures in humans increase the vulnerability of TLE patients to psychiatric symptoms.

Counting singularities via fitting ideals

The stable singularities of differential map germs constitute the main source of studying the geometric and topological behavior of these maps. In particular, one interesting problem is to find formulae which allow us to count the isolated stable singularities which appear in the discriminant of a stable deformation of a finitely determined map germ. Mond and Pellikaan showed how the Fitting ideals are related to such singularities and obtain a formula to count the number of ordinary triple points in map germs from C-2 to C-3, in terms of the Fitting ideals associated with the discriminant. In this article we consider map germs from (Cn+m, 0) to (C-m, 0), and obtain results to count the number of isolated singularities by means of the dimension of some associated algebras to the Fitting ideals. First in Corollary 4.5 we provide a way to compute the total sum of these singularities. In Proposition 4.9, for m = 3 we show how to compute the number of ordinary triple points. In Corollary 4.10 and with f of co-rank one, we show a way to compute the number of points formed by the intersection between a germ of a cuspidal edge and a germ of a plane. Furthermore, we show in some examples how to calculate the number of isolated singularities using these results.

Psychiatric comorbidities in temporal lobe epilepsy: possible relationships between psychotic disorders and involvement of limbic circuits

OBJECTIVE: Mounting evidence suggests that the limbic system is pathologically involved in cases of psychiatric comorbidities in temporal lobe epilepsy (TLE) patients. Our objective was to develop a conceptual framework describing how neuropathological and connectivity changes might contribute to the development of psychosis and to the potential neurobiological mechanisms that cause schizophrenia-like psychosis in TLE patients. METHODS: In this review, clinical and neuropathological findings, especially brain circuitry of the limbic system, were examined together to enhance our understanding of the association between TLE and psychosis. Finally, the importance of animal models in epilepsy and psychiatric disorders was discussed. CONCLUSIONS: TLE and psychiatric symptoms coexist more frequently than chance would predict. Damage and deregulation among critical anatomical regions, such as the hippocampus, amygdala, thalamus, and the temporal, frontal and cingulate cortices, might predispose TLE brains to psychosis. Studies of the effects of kindling and injection of neuroactive substances on behavior and electrophysiological patterns may offer a model of how limbic seizures in humans increase the vulnerability of TLE patients to psychiatric symptoms.