Highlights
- •There has been little study of how treatment of epilepsy through medication, surgery or neurostimulation may affect the creativity and its expression
- •The neuronal circuits thought to underlie creativity are also commonly involved in epileptogenic networks.
- •Medications may impact cognitive processes critical to creative expression such as arousal and motivation
- •Ablative epilepsy surgery has been shown to disrupt aesthetic preferences and musical abilities, which may impact creative expression.
Abstract
Creativity can be defined as the ability to understand, develop, and express, in a
systematic fashion, novel orderly relationships. It is sometimes difficult to separate
cognitive skills requisite for the creative process from the drive that generates
unique new ideas and associations. Epilepsy itself may affect the creative process.
The treatment of epilepsy and its comorbidities, by altering or disrupting the same
neural networks through antiseizure drugs (ASDs), treatment of epilepsy comorbidities,
ablative surgery, or neurostimulation may also affect creativity. In this review,
we discuss the potential mechanisms by which treatment can influence the creative
process and review the literature on the consequences of therapy on different aspects
of creativity in people with epilepsy.
This article is part of a Special Issue entitled “Epilepsy, Art, and Creativity”.
Keywords
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References
- Creative innovation: possible mechanisms.Neurocase. 2003; 9: 369-379
- Brain illness and creativity: mechanisms and treatment risks.Can J Psychiatry. 2011; 56: 132-143
- Functional neuroanatomy of talent.Anat Rec B New Anat. 2004; 277: 21-36
- A blinded study of artwork in a comprehensive epilepsy center population.Epilepsy Behav. 2005; 6: 196-202
- Seizure drawings: insight into the self-image of children with epilepsy.Epilepsy Behav. 2003; 4: 43-56
- Interictal behavioral changes in epilepsy.Epilepsia. 1983; 24: S23-S30
- Artistic creativity, style, and brain disorders.Eur Neurol. 2005; 54: 103-111
- Temporal lobe epilepsy and creativity: a model of association.Creat Res J. 2004; 16: 27-34
- On the neurobiology of creativity. Differences in frontal activity between high and low creative subjects.Neuropsychologia. 2000; 38: 873-885
- Creativity and the default network: a functional connectivity analysis of the creative brain at rest.Neuropsychologia. 2014; 64: 92-98
- Converging language streams in the human temporal lobe.J Neurosci. 2006; 26: 7328-7336
- Genius and epilepsy: brief sketches of twenty great men who had both.Ye Old Depot Press, Concord, MA1953
- Epilepsy: creative sparks.Pract Neurol. 2010; 10: 219-226
- The visual art of contemporary artists with epilepsy.Int Rev Neurobiol. 2006; 74: 119-131
- Temporal lobe epilepsy — a syndrome of sensory-limbic hyperconnection.Cortex. 1979; 15: 357-384
- Explaining and inducing savant skills: privileged access to lower level, less-processed information.Philos Trans R Soc B. 2009; 364: 1399-1405
- Transcranial magnetic stimulation and cognitive neuroscience.Nat Rev Neurosci. 2000; 1: 73-79
- Noradrenergic modulation of cognitive flexibility in problem solving.NeuroReport. 1999; 10: 2763-2767
- Inhibitory influence of frontal cortex on locus coeruleus neurons.Proc Natl Acad Sci. 1995; 92: 6032-6036
- Epilepsy and its main psychiatric comorbidities in adults and children.J Neurol Sci. 2014; 343: 23-29
- The neurological, psychosocial and demographic correlates of hypergraphia in patients with epilepsy.J Neurol Neurochir Psychiatr. 1988; 51: 203-208
- Reasons for quitting serotonin reuptake inhibitor therapy: paradoxical psychological side effects and patient satisfaction.Psychother Psychosom. 2004; 73: 380-385
- Pharmacologic mechanisms of serotonergic transmission of dopamine neurotransmission.Pharmacol Ther. 2007; 113: 296-320
- SSRI-induced apathy syndrome: a clinical review.J Psychiatr Pract. 2004; 10: 196-199
- Changes in artistic style and behavior in Parkinson’s disease: dopamine and creativity.J Neurol. 2009; 256: 816-819
- Augmentation of artistic productivity in Parkinson’s disease.Mov Disord. 2006; 21: 285-286
- Lithium-associated cognitive and functional deficits reduced by a switch to divalproex sodium: a case series.J Clin Psychiatry. 1996; 57: 356-359
- Split-brain, the right hemisphere, and art: fact and fiction.Prog Brain Res. 2013; 204: 3-17
- Hemispheric specialization and creativity.Psychiatr Clin N Am. 1988; 11: 303-315
- Creative innovation with temporal lobe epilepsy and lobectomy.J Neurol Sci. 2013; 324: 45-48
- Acute effect of anterior temporal lobectomy on musical processing.Neuropsychologia. 1991; 29: 703-708
- Effect of unilateral temporal-lobe excision on perception and imagery of songs.Neuropsychologia. 1993; 31: 221-232
- Dramatic changes in artistic preference after left temporal lobectomy.Epilepsy Behav. 2003; 4: 449-451
- Amusia after right frontal resection for epilepsy with singing seizures: case report and review of the literature.Epilepsy Behav. 2003; 4: 343-347
- Electrical brain stimulation for epilepsy.Nat Rev Neurol. 2014; 10: 261-270
- A randomized controlled trial of chronic vagus nerve stimulation for treatment of medically intractable seizures.Neurology. 1995; 45: 224-230
- Effect of vagus nerve stimulation on creativity and cognitive flexibility.Epilepsy Behav. 2006; 8: 720-725
- Deep brain stimulation of the anterior internal capsule for the treatment of Tourette syndrome: technical case report.Neurosurgery. 2005; 57: E403
- Electrical stimulation of the anterior nucleus of the thalamus for treatment of refractory epilepsy.Epilepsia. 2010; 51: 899-908
Article info
Publication history
Published online: January 28, 2016
Accepted:
December 31,
2015
Identification
Copyright
© 2016 Elsevier Inc. Published by Elsevier Inc. All rights reserved.