Published Date: March 20, 2023

Full Text Article

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

Authors: Lisa-Dounia Soncin, Marie Arthuis, Julia Scholly, Romain Carron, Aileen McGonigal, Francesca Pizzo, Agnès Trébuchon, Stanislas Lagarde, Fabrice Bartolomei

Epileptic Disord. 2023 Jun;25(3):390-396. doi: 10.1002/epd2.20023. Epub 2023 May 26.


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.

PMID: 36939714DOI: 10.1002/epd2.20023