DISTURBED CEREBRAL PERFORMANCE HAS MANY FACES

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Eliciting factors of reversible functional brain disorders

– Inflammable CNS processes:                        encephalitis, meningitis

– Space occupying processes in

the brain:                                                       subdural haematoma, tumors, metastases, abscess

– Craniocerebral traumas

– Vascular CNS disturbances:                       thrombosis, embolism, cerebra vascular insufficiency

– Epilepsy:                                                     e.g. after grand mal attacks

– Infections diseases:                                     infections with high fever, e.g. severe pneumonia, sepsis

– Metabolic and endocrine disturbances:      e.g. hypothyreosis and myxoedema, acidosis, thyreotoxicosis, hypo – and hyperglycemia, electrolyte imbalance, dehydration, encephalopathy

– Diseases giving rise to hypoxia:                  chronically obstructive lung diseases with hypercapnia, severe anemia, cardiac insufficiency

– Nutritional disorders:                                  Vit B12, folic acid deficiency, thiamine, nicotinic acid

– Drugs:                                                         e.g. anticholinergics, sedatives, neuroleptics, spasmolytics, diuretics, antidepressants, cardiac glycosides.

 

Symptoms of cerebral functional disorders – an attempt at differential diagnosis

 

  1. Symptoms that rather suggest a vascular origin (primary neurological characteristics)
    • Dizziness
    • Headache
    • Sleep disorders
    • Defective hearing
    • Emotional liability
    • Speech disorders
    • Scotoma, double vision
    • Paresis
  2. Symptoms that rather suggest a primary degenerative process (Alzheimer’s disease) (primary psychopathogenetic characteristics)
    • Confusion
    • Mental rigidity
    • Depression
    • Agitation and aggressiveness
    • Situation – related anxiety
    • Slowly progressing decline of cognitive ability
  • Symptoms that, mainly because they occur initially, are hard to interpret
    • Disturbed concentration
    • Disturbed memory
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