Actas luso-españolas de neurología, psiquiatría y ciencias afines
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Actas Luso Esp Neurol Psiquiatr Cienc Afines · Jul 1998
Case Reports[Psychiatric pathology after extracorporeal cardiac surgery: a case report of tardive postoperative cognitive dysfunction].
A 67-year-old female patient operated of a severe aortic esthenosis with extracorporeal circulation during cardiac surgery, developed psychiatric disturbances with excitement and delirium, being necessary internamtient in a psychiatric ward, a month later. The evolution was right after neuroleptic treatment and nowdays she's assimptomatic. We review what is wrote about posteparative cognitive dysfunction (POCD), being this a tardive presentation case. We analize the definition, prevalence, etiology, pathofisiology, treatment and prevention since it is a reversible surgery complication but if it isn't early diagnosed and treated, its morbidity and mortality can be high.
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Actas Luso Esp Neurol Psiquiatr Cienc Afines · Sep 1996
Biography Historical Article[The logical basis of mental confusion in Delasiauve, Bonhoeffer and Llopis versus DSM-III-R delirium].
Delasiauve, Bonhoeffer and Llopis, conceived confusional scenes contrasting the theory of Unique Psychosis, Nosologic Unit, and Psychical Atomism respectively. The a-theoric DSM-III-R, doesn't establish any new concept, limiting itself to arrange in other way, that which was discovered by those and others authors, without rational justifications, having priority over clinical considerations, verbal definitions, with a practice and scientific value that may be debatable.
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Actas Luso Esp Neurol Psiquiatr Cienc Afines · Sep 1995
[The psychiatric consultation-liaison program and posttraumatic stress disorder due to burns].
Sixty-five acute burned inpatients were evaluated prospectively by structured questionnaire and clinical interview. All of the subjects hospitalized in a Burn Unit were referred for psychiatric examination to a psychiatric consultation-liaison programme. ⋯ There were no significant differences among patients with PTSD and Adjustment Disorder for severity and type of burn injuries. The discussion deals with PTSD is a frequent missed disorder by the medical staff of burn units, and also the importance of the patients subjective appraisal of the stressor as a factor precipitating PTSD.
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Actas Luso Esp Neurol Psiquiatr Cienc Afines · May 1993
Case Reports[Treatment of catatonia with lorazepam].
The most recent medical literature has emphasized the notion that catatonia is a syndrome rather than a disease and, on this basis it is associated with a wide variety of medical, neurological and psychiatric conditions. The authors report on five cases of catatonic patients with a favorable response to Lorazepam and analyze the possible mechanisms of action of this Benzodiazepine in catatonic syndrome.
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Actas Luso Esp Neurol Psiquiatr Cienc Afines · Mar 1993
Historical Article[Classifications of mental disorders: from Bertillon to ICD-10, the century of international collaboration].
The first International Classification of Diseases (ICD) was approved during the Congress of the Statistical International Institute, in Chicago, in Paris, in 1893. It was based on a list of diseases prepared by Jacques Bertillon. Minor changes were introduced in this classification during decennial revisions made at international meetings and it remained in use until 1948, when the World Health Organization's Provisional Committee was charged with the task producing ICD-6. ⋯ Based on epidemiological findings, and based also on an intensive and extensive international network of clinicians and investigators, ICD-10 was published in 1992. It represented a substantial improvement regarding the conceptualization of the classification of mental disorders, in relation to previous revisions of the ICD. Future tasks relating to ICD-10 include training of health personnel for its proper utilization, in addition to finalizing further ICD-10 versions, e.g. for research purposes and for primary health care use.