Psychiatrie, Neurologie, und medizinische Psychologie最新文献

In a paranoid-hallucinatoric patient with chronic course and acute exacerbation a EEG mapping study during neuroleptic treatment was carried out. The typical changes of the alpha power spectra in schizophrenic psychoses as well the normalization after neuroleptic treatment could be found in the alpha map. The changes were in correlation to the clinical state.

Radiographs of the lumbar vertebral column and sacral region obtained for 182 epileptic patients after spina bifida occulta were studied. Spina bifida occulta was twice as common in patients with idiopathic epilepsy as in those with symptomatic epilepsy and twice as common as in the normal population. A relationship between spina bifida occulta and idiopathic epilepsy is discussed.

A clinico-experimental investigation was conducted to study subjects exposed to neurotoxic pollutants and contaminants by means of the Combitest 2 computer-aided psychometric method. To this end, sensopsychomotor, mnestic and intellectual performance as well as concentration power were evaluated. Single and multiple choice reaction tasks, termometer tracking and maximal tapping were found to be efficient screening methods. Pronounced relationships were seen to exist between psychometric test results and lead concentration levels in blood.

Proceeding from H. Cosack (1937), and in view of the fact that since then no further casuistic contributions relating to the crimogenic aspect of the psychopathological frontal brain syndrome or to the forensic psychiatry of persons with frontal brain damage have appeared, we take up the discussion with five of our own cases. Since modern procedures have made it possible to localise exactly the consequences of brain damage, a new round of investigations might be expected to resolve the problems still left open.

After the evaluation of the anamnestic, clinical, and paraclinical data of 100 children and young persons with functional headache, the conclusion is reached: It is not considered cogently necessary; on clinical, paraclinical, therapeutic, and prognostic grounds, to differentiate between tense headache and migraine (complicated migraine forms excepted) in functional headache in children. A prevalence of girls below the age of 12, as described in literature, was not confirmed. Only from the age of 12 is there an increase in proportion of girls as first sufferers of functional headache. Short-term prognosis suggests effective non-medicamentive treatment.

The paper considers a case of acute paranoid-hallucinatory psychosis that made its appearance in the fifth year after the manifestation of hereditary chorea. A brief account of the problems involved in psychoses when hereditary chorea is present is given. These psychoses are taken to be functional psychoses as according to Wieck.

On the basis of a psychopathologically calibrated battery of tests, the effects of four drugs commonly prescribed for the alleviation of epilepsy (Valproinat, Carbamazepin, Diphenylhydantoin, and Primidon) were examined before and after optimisation of therapy. The positive psychotropic effect of Valproinat and Carbamazepin, and probably also of Diphenylhydantoin, consists in the acceleration of the psychic and motor rate and in the reduction of viscosity and perseveration.

The relationship between electrical and mechanical muscle activity was investigated in the case of twenty patients with myotonia congenita. Statistically significant correlations were found to exist between the myotonic discharge spasm and the phases of tension and relaxation in the mechanogram. In vitro examination for 9-anthracene carbonic acid of individual muscle fiber bundles and the examination of a patient with recessive generalised myotonia revealed that the incidence of myotonic discharge spasms is accompanied by development of tension in the muscle. These findings lend support to the assumption that in both forms of myotonia it is the electrical activity that induces delay of contraction, and thus accounts for the pathological muscle behavior in myotonia.

The heterogenous psychoses in epilepsies, caused by well known conditions, are not rare but associated with regularly a few of seizure-types not with the nature and development of attacks. Polar transitional ranks and converging courses of schizophrenic (accentuated) syndromes in epilepsies and idiopathic schizophrenias are rather frequent. Also (sub-)acute schizophrenic psychoses are corresponding to the complete palette of first and second rank symptoms (K. Schneider) of idiopathic schizophrenias. After manifestations of epilepsy these syndromes can appear at any time. It is given a profile of risks. Progressive avoidance of a. phenylaceturea, b. mixtures of antiepileptics did not put an end to psychotic syndromes: Long-term therapies with 1. Polytherapy, 2. Primidone and Phenytoin (dosedependant) as well as 3. Ethosuximide (-monotherapy) cause a disorder of feed back mechanisms, especially a disturbed regulation of vigilance and sleeping-waking-cycle and their psychological correlates. Carbamazepine and Sodium Valproate are, plasma-level-controlled of preventive antipsychotic effect. Selected neuroleptics of rather slight epileptogenic potency are of going down importance. Benzodiazepines are required mostly in prepsychotic syndromes, Lithium compounds in selected cases. There is no more alternative seizures or psychosis.