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Behavioral Symptoms in Temporal Lobe Epilepsy-Reply

Dan M. Mungas, PhD
Arch Gen Psychiatry. 1983;40(4):468-469. doi:10.1001/archpsyc.1983.01790040122022.
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In Reply.—  Dr Bear addresses several issues that require further clarification. First, he interprets the high frequency of behavioral abnormality in my temporal lobe epilepsy group as "further evidence of the frequent occurrence of behavioral symptoms in temporal lobe epilepsy." This inference is unwarranted, as the group was preselected for the presence of behavior abnormality and, as a result, was clearly not representative of temporal lobe epileptics in general and cannot be used to address the question of incidence of behavioral disturbance in temporal lobe epilepsy. Second, Bear argues that some of the patients in my neurobehavioral group may have suffered from undetected temporal lobe epilepsy. This potential criticism was addressed in my article and requires no further comment other than to note that even if this were the case for the neurobehavioral group, one would still need to account for the lack of differences between the temporal lobe epilepsy and psychiatric

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