Neuropsychiatry

Head injury

Head trauma can result in an array of mental symptoms. Head trauma most commonly

occurs in people 15 to 25 years of age and has a male ‐to‐female predominance of

approximately 3 to 1.

It is thought that all patients with serious head trauma, more than half of patients with

ongoing neuropsychiatric sequelae resulting from the head trauma.

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Neuropsychiatry:

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A. Head injury Head trauma can result in an array of mental symptoms. Head trauma most
commonly occurs in people 15 to 25 years of age and has a male- to- female predominance of
approximately 3 to 1. It is thought that all patients with serious head trauma, more than…

Page 3

Preview of page 3
5. irritability or aggression on little or no provocation 6. anxiety, depression, or affective lability 7.

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changes in personality (e.g., social or sexual inappropriateness) 8. apathy or lack of spontaneity
No specific treatment is suggested. As patients with head trauma may be particularly
susceptible to the side effects of psychotropic drugs, treatment should be initiated in lower
dosages than usual, and they should be titrated upward…

Page 5

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of epilepsy, is bizarre in pattern or variable in nature, reflexes are unaltered, incontinence or

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self- injury including tongue bite are rare, cyanosis or pallor is not present. Serum prolactin
levels rise sharply to a peak at 20 minutes and returns to normal within 1 hour after a
generalised tonic- clonic seizure, which can be used to identify pseudoseizures. Psychiatric
phenomenon in temporal lobe epilepsy…

Page 7

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Carbamazepin e Block sodium channels Dizziness, drowsiness, ataxia, agranulocytosis (rare),

Page 8

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cardiac conduction defects, hyponatremia, rash etc. Induces Cyt P450. Induces own
metabolism, reduces levels of OCP, warfarin, valproate, antidepressants etc. Lamotrigine Block
sodium channels Rash etc. Inhibit Cyt P450. CBZ reduces levels. Phenytoin Block sodium
channels Gabapentin GABA potentiation Sedation, dizziness ataxia Does not induce / inhibit Cyt
P450. Topiramate…

Page 9

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REM sleep is characterised by an activated EEG, loss of tone in antigravity muscles, dreaming,

Page 10

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and periodic bursts of rapid eye movements. Nightmares tend to occur in this stage. The REM
latency is shortened in some patients with depressive disorders, eating disorders, narcolepsy,
Borderline personality disorder, alcohol use disorder and schizophrenia. The amount of REM
sleep is increased as well in these disorders. Narcolepsy: Characterised…

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Neuropsychiatry

Head injury

Head trauma can result in an array of mental symptoms. Head trauma most commonly

occurs in people 15 to 25 years of age and has a male ‐to‐female predominance of

approximately 3 to 1.

It is thought that all patients with serious head trauma, more than half of patients with

ongoing neuropsychiatric sequelae resulting from the head trauma.

PDF Document 1.06 Mb

Pages in this set

Page 1

Preview of page 1
Neuropsychiatry:

Page 2

Preview of page 2
A. Head injury Head trauma can result in an array of mental symptoms. Head trauma most
commonly occurs in people 15 to 25 years of age and has a male- to- female predominance of
approximately 3 to 1. It is thought that all patients with serious head trauma, more than…

Page 3

Preview of page 3
5. irritability or aggression on little or no provocation 6. anxiety, depression, or affective lability 7.

Page 4

Preview of page 4
changes in personality (e.g., social or sexual inappropriateness) 8. apathy or lack of spontaneity
No specific treatment is suggested. As patients with head trauma may be particularly
susceptible to the side effects of psychotropic drugs, treatment should be initiated in lower
dosages than usual, and they should be titrated upward…

Page 5

Preview of page 5
of epilepsy, is bizarre in pattern or variable in nature, reflexes are unaltered, incontinence or

Page 6

Preview of page 6
self- injury including tongue bite are rare, cyanosis or pallor is not present. Serum prolactin
levels rise sharply to a peak at 20 minutes and returns to normal within 1 hour after a
generalised tonic- clonic seizure, which can be used to identify pseudoseizures. Psychiatric
phenomenon in temporal lobe epilepsy…

Page 7

Preview of page 7
Carbamazepin e Block sodium channels Dizziness, drowsiness, ataxia, agranulocytosis (rare),

Page 8

Preview of page 8
cardiac conduction defects, hyponatremia, rash etc. Induces Cyt P450. Induces own
metabolism, reduces levels of OCP, warfarin, valproate, antidepressants etc. Lamotrigine Block
sodium channels Rash etc. Inhibit Cyt P450. CBZ reduces levels. Phenytoin Block sodium
channels Gabapentin GABA potentiation Sedation, dizziness ataxia Does not induce / inhibit Cyt
P450. Topiramate…

Page 9

Preview of page 9
REM sleep is characterised by an activated EEG, loss of tone in antigravity muscles, dreaming,

Page 10

Preview of page 10
and periodic bursts of rapid eye movements. Nightmares tend to occur in this stage. The REM
latency is shortened in some patients with depressive disorders, eating disorders, narcolepsy,
Borderline personality disorder, alcohol use disorder and schizophrenia. The amount of REM
sleep is increased as well in these disorders. Narcolepsy: Characterised…

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