Psychiatrie, Neurologie, und medizinische Psychologie
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Pain is both sensual perception and sense of touch, and it leads to emotional change of health, which has an effect back to a pain perception. Experience of pain is modified by intern and extern influences, and it can appear very multiformly in the chronicity. A part of these factors are described.
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Psychiatr Neurol Med Psychol (Leipz) · Mar 1990
Case Reports[Spontaneous epidural hematoma with cervical localization--report of a case with etiopathologic analysis].
A case of spontaneous spinal epidural hematoma is reported. The 56-year-old man was hospitalized with neck pain followed by right sided Brown-Sequard syndrome at the level of C5-6 with a light rectovesical insufficiency and cervical sympathetic symptomatology. CT scan revealed right sided extradural high density mass. ⋯ The spontaneous spinal epidural hematoma is rare emergency. The exact etiology is unknown. Etiology and pathophysiology of this unusual lesion are described.
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Psychiatr Neurol Med Psychol (Leipz) · Dec 1989
[Electrolyte disorders, EEG changes and epileptic seizures in alcohol withdrawal delirium].
For 180 patients suffering alcohol-withdrawal induced delirium, electrolytic concentration in the serum of Na, K, Ca, and Mg was determined in the early withdrawal phase, and the electroencephalograms of 95 delirium patients evaluated in respect of local and diffuse changes and epileptic activity, and compared in delirium patients with and without initial seizures. Delirium patients who had initial seizures suffered significantly longer-lasting periods of delirium and significantly more frequent electrolytic changes in the form of hypomagnesemia and hypopotassemia (hypokalemia). There was no significant difference in the EEG changes. A temporary metabolic disorder in the initial phase of the two-phase withdrawal process should be assumed to be the cause of seizures during alcohol withdrawal, and the pathogenetic significance of hypomagnesemia and hypopotassemia should be taken into consideration.
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Psychiatr Neurol Med Psychol (Leipz) · Dec 1988
[Pathophysiologic observations of facial neuralgia].
The different etiology and pathogenesis of face-neuralgiae requires a spezific therapy of the respective illness. New aspects are formed in the last years in the so-called idiopathic neuralgia. She has good chances with the therapy through the Jannetta-operation. ⋯ This is called "ictal neuralgia". The paper attempts pathophysiological to explain the specific pain. It shows aspects to the trigger mechanism, to the intensity of the pain and to the ictal pain-characterization.
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Psychiatr Neurol Med Psychol (Leipz) · Nov 1988
[Forensic-psychologic-psychiatric assessment from the viewpoint of perpetrators--data from a survey].
In this contribution, various aspects of the expert/culprit-relationship and of the communication behavior styles between the included persons within the scope of forensic-psychological-psychiatric expertise, are discussed. A survey is given on results gained with a questionnaire study (n = 93 culprits; Department of Forensic Psychiatry, Charité Berlin) of the most important expectations, of the social-relevant attitudes towards the assessment and physicians before the forensic investigation as well as of the experiences of own feelings, stress and of the culprit's reflections on the physician/proband relationship after the assessment. A good partnership relation between experts and culprits presupposes that the expert not only possesses a high profession but also the necessary interpersonal-social competence.