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Psychiatric sequelae of acquired brain injury

Published online by Cambridge University Press:  02 January 2018

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Extract

Improvements over recent decades in acute care of the brain-injured now ensure that all but the most severely injured survive. The legacy of that survival is an increasing number of people with enduring organic mental disorders. Here, I will focus upon the psychiatric sequelae of five types of severe single-insult brain injury: head trauma, subarachnoid haemorrhage, and hypoxic, hypoglycaemic and postencephalitic injury. Thrombotic stroke is a common and important cause of brain injury but the psychiatric consequences have been more extensively studied and are fairly well-known (Robinson & Price, 1982; Starkstein et al, 1987). Damage due to alcohol and associated malnutrition is also well-documented (Jacobson & Lishman, 1987, 1990). Neither will be specifically addressed here, though some of the consequences of brain injury are similar, regardless of cause.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1999 

References

Barrett, K. (1991) Treating organic abulia with bromcriptine and lisuride. Journal of Neurological and Neurosurgical Psychiatry, 54, 718721.CrossRefGoogle Scholar
Blumer, D. & Benson, F. (1975) Personality change with frontal and temporal lobe lesions. In Psychiatric Aspects of Neurologic Disease (eds Benson, D. F. & Blumer, D.) pp. 151171. New York: Grune & Stratton.Google Scholar
Bracken, P. (1987) Mania following head injury. British Journal of Psychiatry, 150, 690692.CrossRefGoogle ScholarPubMed
British Medical Association & Royal Pharmaceutical Society of Great Britain (1999) British National Formulary. London: BMA and The Pharmaceutical Press.Google ScholarPubMed
Brooke, M. M., Patterson, D. R., Questad, K. A. et al (1992) The treatment of agitation during initial hospitalisation after traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 73, 917921.Google ScholarPubMed
Brooks, N. (1990) The head injured family. Journal of Clinical and Experimental Neuropsychology, 13, 134.Google Scholar
Buckley, P., Stack, J. P., Madigan, C. et al (1993) Magnetic resonance imaging of schizophrenia-like psychoses associated with cerebral trauma: clinico pathological correlates. American Journal of Psychiatry, 150, 146148.Google Scholar
Corrigan, P. W. & Jakus, M. R. (1994) Behavioural treatment. In Neuropsychiatry of Traumatic Brain Injury (eds Silver, J. M., Yudofsky, S. C. & Hales, R. E.) pp. 733769. Washington, DC: American Psychiatric Press.Google Scholar
Corsellis, J. (1989) Boxing and the brain. British Medical Journal, 134, 105109.CrossRefGoogle Scholar
Davison, K. & Bagley, C. R. (1969) Schizophrenia-like psychoses associated with organic disorders of the central nervous system: a review of the literature. In Current Problems in Neuropsychiatry: Schizophrenia, Epilepsy, the Temporal Lobe (ed. Herrington, R. N.) pp. 113184. British Journal of Psychiatry special publication, no. 4. Ashford: Headley Brothers.Google Scholar
Eames, P. (1992) Hysteria following brain injury. Journal of Neurological and Neurosurgical Psychiatry, 55, 10461053.CrossRefGoogle ScholarPubMed
Eames, P. & Wood, R. (1981) Rehabilitation after severe brain injury: a follow-up study of a behaviour modification approach. Journal of Neurological and Neurosurgical Psychiatry, 48, 613619.CrossRefGoogle ScholarPubMed
Feeney, Gonzales A., Law, W. A. et al (1982) Amphetamine, haloperidol and experience interact to affect rate of recovery after motor cortex injury. Science, 217, 855857.CrossRefGoogle ScholarPubMed
Fisher, C. M. (1983) Abulia monor vs agitated behaviour. Clinical Neurosurgery, 31, 931.CrossRefGoogle Scholar
Geracioti, T. D. (1994) Valproic acid treatment of episodic explosiveness related to brain injury. Journal of Clinical Psychiatry, 55, 416417.Google ScholarPubMed
Grafman, J., Vance, S. C., Swingartner, H. et al (1986) The effects of lateralised frontal lesions on mood regulation. Brain, 109, 11271148.CrossRefGoogle Scholar
Greendyke, R. M., Shuster, D. B., Wooton, J. A. et al (1986) Propranolol in the treatment of assaultive patients with organic brain disease. A double blind study. Journal of Clinical Psychiatry, 8, 2326.Google Scholar
Gualtieri, C. T. & Cox, D. R. (1991) The delayed neurobehavioural sequalae of traumatic brain injury. Brain Injury, 5, 219231.CrossRefGoogle Scholar
Jacobson, R. R. & Lishman, W. A. (1987) Selective memory loss and global intellectual deficits in alcoholic Korsakoff's syndrome. Psychological Medicine, 17, 649655.CrossRefGoogle ScholarPubMed
Jacobson, R. R. & Lishman, W. A. (1987) Cortical and diencephalic legions in Korsakoff's syndrome: a clinical and CT scan study. Psychological Medicine, 20, 6375.CrossRefGoogle Scholar
Jorge, R., Robinson, R. G., Arndt, S. V. et al (1993) Depression and traumatic brain injury: a longitudinal study. Affective Disorders, 27, 233243.CrossRefGoogle ScholarPubMed
King, N. (1997) Mild head injury: neuropathology, sequelae, measurement and recovery. British Journal of Clinical Psychology, 36, 161184.CrossRefGoogle ScholarPubMed
Lewin, J. & Sumners, D. (1992) Successful treatment of episodic dyscontrol with carbamazepine. British Journal of Psychiatry, 161, 261262.CrossRefGoogle ScholarPubMed
Lishman, W. A. (1998) Organic Psychiatry (3rd edn). London: Blackwell Science.Google Scholar
Medical Disability Society (1988) The Report of the Working Party on the Management of Traumatic Brain Injury. London: Medical Disability Society.Google Scholar
Miller, I. (1991) Psychotherapy of the brain-injured patient: principles and practices. Cognitive Rehabilitation, 9, 2430.Google Scholar
Nasrallah, H. A., Fowler, R. C. & Judd, I.I. (1981) Schizophrenia-like illness following head injury. Psychosomatics, 22, 359396.CrossRefGoogle ScholarPubMed
Porcher, E., Filteau, M. J., Bouchard, R. H. et al (1994) Efficacy of the combination of buspirone and carbamazepine in early posttraumatic delirium. American Journal of Psychiatry, 151, 150151.Google Scholar
Prigatano, G. P. (1991) Disordered mind, wounded soul: the emerging role of psychotherapy in rehabilitation after brain injury. Journal of Head Trauma Rehabilitation, 64, 110.CrossRefGoogle Scholar
Ritchie, E. C., Primelo, R., Radke, A. Q. (1989) Bullet in the brain: a case of organic psychosis. Journal of Neuropsychiatry and Clinical Neurosciences, 1, 449451.CrossRefGoogle ScholarPubMed
Robinson, R. G. & Price, T. R. (1982) Post stroke depressive disorders: a follow-up study of 103 patients. Stroke, 13, 635641.CrossRefGoogle ScholarPubMed
Robinson, R. G. & Jorge, R. (1994) Mood disorders. In Neuropsychiatry of Traumatic Brain Injury (eds Silver, J. M., Yudofsky, S. C. & Hale, R. E.) pp. 219250. Washington, DC: American Psychiatric Press.Google Scholar
Ross, E. D. & Stewart, R. M. (1981) Akinetic mutism from hypothalamic damage: successful treatment with a dopamine agonist. Neurology, 31, 14351439.CrossRefGoogle Scholar
Sacks, O. (1973) Awakenings. London: Duckworth.Google ScholarPubMed
Starkstein, S. E., Robinson, R. G. & Price, T. R. (1987) Comparison of cortical and subcortical lesions in the production of post-stroke mood disorders. Brain, 110, 10451059.CrossRefGoogle Scholar
Starkstein, S. E., Boston, J. D. & Robinson, R. G. (1988) Mechanisms of mania after brain injury. 12 cases and a review of the literature. Journal of Nervous and Mental Diseases, 176, 87100.CrossRefGoogle Scholar
Storey, P. B. (1972) Emotional disturbances before and after subarachnoid haemorrhage. In Physiological Emotional and Psychosomatic Illness (Ciba Foundation Symposium No. 8) (eds Porter, R. & Knight, J.) pp. 337343. Amsterdam: Associated Scientific Publishers.Google Scholar
Wilcox, J. A. & Nasrallah, H. A. (1987) Childhood head trauma and psychosis. Psychiatric Research, 21, 303306.CrossRefGoogle ScholarPubMed
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.Google ScholarPubMed
Vedie, C., Battoum, H. & Katz, G. (1993) Schizophrenic post-traumatique. La Presse Medicate, 22, 10911094.Google Scholar
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