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Psycology » Organic mental disorders

Writing instruments and professional spasms

When chirospasm attempts at writing accompanied by painful muscle spasms, providing subtle finger movements. Spasms usually begin immediately, you only pick up a pen. The patient can learn to write with your other hand, but often it is also affected. Meanwhile, in other similar actions spasm in fact usually does not occur and there is nothing stopping the patient, such as a hand-held brush for drawing. Professional cramps are similar disorders in which violated certain forms of movements, most often associated with special skills. The disease occurs, in particular, pianists, violinists,

Insulinoma

Insulinoma often appear between the ages of 20 to 50 years. Usually a long history of transient but recurrent attacks, during which the patient behaves in an unusual way for him, often aggressive and disinhibition times manifestations of the disease may resemble the picture almost any psychopathological syndrome. The key to the diagnosis may serve as a sign of how repeatable attacks. Usually the patient can not remember what happened during the attack. The main reason for establishing the diagnosis is the low concentration of glucose in the blood during the attack or immediately after it. In cases of doubt,

Acute porphyria

The question of classifying types of porphyria complicated, and there is no need to go into detail (if you want the reader can get more information by contacting the appropriate training of medical literature). In Britain, the most common form of acute intermittent due to congenital inherited metabolic disorder transmitted by an autosomal dominant gene with incomplete penetrance. Acute porphyria is important for the psychiatrist, as observed in this disease picture may resemble hysteria, acute organic reaction or functional psychosis. It has been suggested (see: McAlpine, Hunter 1966), was the reason

Pheochromocytoma

Occasional panic attacks can sometimes be caused by pheochromocytoma. This cause is rare, and its very easy to miss. Pheochromocytoma tumor (usually benign) arising from chromaffin cells of the adrenal medulla chromaffin tissue or ekstraadrenalovoy sympathetic ganglia. They secrete adrenaline and noradrenaline either permanently or paroxysmally, causing seizures, which are characterized by atrial fibrillation, reddening of the skin, sweating, trembling, and a sharp headache, along with hypertension and tachycardia. In such attacks the patient usually experiences severe anxiety. Sometimes noted

Acromegaly

Acromegaly common apathy and lack of initiative, but other psychiatric symptoms are not typical for this disease. Sometimes there is depression, but it is rather a psychological reaction to physical symptoms than a direct consequence of hormonal disorders.

Parasomnias

Nightmares (disturbing, frightening dreams) When frightening dreams sleeper awakens from REM sleep, immediately turning to normal waking consciousness with a clear and detailed, and keeping alive the memory of its saturated fear or anxiety dream. In children nightmares are most often at the age of five or six years. Nightmares can be stimulated by any frightening experiences during the day, and frequent nightmares often occur during periods when the person constantly feels anxiety (see: Kales et al. 1987). Night terror attacks Night terrors are much less common than nightmares (frightening dreams). In some

Hypoparathyroidism

Hypoparathyroidism is usually associated with the removal of the parathyroid glands or by damage thyroidectomy, but sometimes there are idiopathic cases. The main symptoms of tetany, cataracts and epilepsy. A review of the literature on hypoparathyroidism (Denko, Kaelbling 1962), at least half of the cases related to surgical, psychiatric symptoms are observed, often in the form of acute organic psychiatric syndromes. In cases of idiopathic hypoparathyroidism more common chronic psychiatric syndromes. Less frequent complications are depression, irritability and nervousness (psevdonevroz). Bipolar

Disorder sleep-wake

Restructuring physiological rhythms in travel-crossing time zones, or when another schedule accompanied by a sense of fatigue and transient disturbances of sleep. Constant change work schedule or irregular alternation of night and day stay can lead to chronic sleep, constant fatigue, decreased ability to concentrate and thus increase the risk of injuries, accidents, etc.

Subarachnoid hemorrhage

The literature has repeatedly noted a high incidence of mental disorders after subarachnoid hemorrhage. So, Storey (1967, 1970) studied the effects of subarachnoid hemorrhage in 261 patients, found that in 40% of cases by simple clinical examination revealed organic mental disorders. For these patients were also characterized by adverse changes in personality, though, surprisingly, relatives reported an improvement in 13% of patients with bleeding from the front aneurysms. In 14% of cases there was a significant depressive symptoms. Overview of psychiatric aspects of subarachnoid krovoizliyan

Cerebrovascular stroke

Among the survivors of a stroke a little over half are those who have managed to return to full independent living. The rest in varying degrees lose their ability to live independently because of violations, which may be both psychological and physical. Psychological changes are often so great that many patients are unable to return to a normal life even after physical disturbance has ceased to be a serious obstacle. Cognitive impairment A single stroke can cause dementia, and other disorders of higher cortical functions, such as dysphasia, and VARPA
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