Volume 25, Issue 3 pp. 390-396
CLINICAL COMMENTARY
Open Access

“Plok-plok” syndrome: Posttraumatic stress disorder following an SEEG thermocoagulation and direct electrical stimulation procedure

Lisa-Dounia Soncin

Corresponding Author

Lisa-Dounia Soncin

Laboratoire d'Anthropologie et de Psychologie Cliniques, Cognitives et Sociales, Université Côte d'Azur, Nice, France

Institut de Neurosciences des Systèmes, INSERM, Aix-Marseille Université Marseille, Marseille, France

Service d'Epileptologie et Rythmologie Cérébrale, Assistance Publique Hôpitaux de Marseille, Marseille, France

Service de Neurochirurgie Fonctionnelle et Stéréotaxique, Assistance Publique Hôpitaux de Marseille, Marseille, France

Correspondence

Lisa-Dounia Soncin, Department of Epileptology and Cerebral Rhythmology, Assistance Publique Hôpitaux de Marseille, 264 Rue Saint-Pierre, 13005 Marseille, France.

Email: [email protected] and [email protected]

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Marie Arthuis

Marie Arthuis

Institut de Neurosciences des Systèmes, INSERM, Aix-Marseille Université Marseille, Marseille, France

Service d'Epileptologie et Rythmologie Cérébrale, Assistance Publique Hôpitaux de Marseille, Marseille, France

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Julia Scholly

Julia Scholly

Institut de Neurosciences des Systèmes, INSERM, Aix-Marseille Université Marseille, Marseille, France

Service d'Epileptologie et Rythmologie Cérébrale, Assistance Publique Hôpitaux de Marseille, Marseille, France

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Romain Carron

Romain Carron

Institut de Neurosciences des Systèmes, INSERM, Aix-Marseille Université Marseille, Marseille, France

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Aileen McGonigal

Aileen McGonigal

Institut de Neurosciences des Systèmes, INSERM, Aix-Marseille Université Marseille, Marseille, France

Service d'Epileptologie et Rythmologie Cérébrale, Assistance Publique Hôpitaux de Marseille, Marseille, France

Queensland Brain Institute, University of Queensland and Mater Hospital, Queensland, Brisbane, Australia

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Francesca Pizzo

Francesca Pizzo

Institut de Neurosciences des Systèmes, INSERM, Aix-Marseille Université Marseille, Marseille, France

Service d'Epileptologie et Rythmologie Cérébrale, Assistance Publique Hôpitaux de Marseille, Marseille, France

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Agnès Trébuchon

Agnès Trébuchon

Institut de Neurosciences des Systèmes, INSERM, Aix-Marseille Université Marseille, Marseille, France

Service d'Epileptologie et Rythmologie Cérébrale, Assistance Publique Hôpitaux de Marseille, Marseille, France

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Stanislas Lagarde

Stanislas Lagarde

Institut de Neurosciences des Systèmes, INSERM, Aix-Marseille Université Marseille, Marseille, France

Service d'Epileptologie et Rythmologie Cérébrale, Assistance Publique Hôpitaux de Marseille, Marseille, France

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Fabrice Bartolomei

Fabrice Bartolomei

Institut de Neurosciences des Systèmes, INSERM, Aix-Marseille Université Marseille, Marseille, France

Service d'Epileptologie et Rythmologie Cérébrale, Assistance Publique Hôpitaux de Marseille, Marseille, France

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First published: 20 March 2023
Citations: 1

Abstract

The psychological impact of intracerebral electroencephalography (stereoelectroencephalography [SEEG]) including the thermocoagulation procedure has not yet been clearly studied. We present a case of a patient who, following an SEEG procedure for presurgical evaluation of intractable focal epilepsy, developed severe symptoms of posttraumatic stress disorder. Such an occurrence may be under-estimated. Perceived traumatic exposure during SEEG and the development of posttraumatic psychological symptoms should be further studied in order to define risk factors and to improve the monitoring and psychological management of patients during their hospitalization. A careful and systematic procedure of prevention and support before, during, and after SEEG could decrease the risk of development or worsening of symptoms of anxiety, depression, and posttraumatic stress disorder.

CONFLICT OF INTEREST STATEMENT

None of the authors have any conflict of interest to disclose.

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