FEATURES OF MENTAL DISORDERS IN NEUROLOGICAL DISEASES


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Abstract

The deals with the features of mental disorders in neurological diseases - dementia, epilepsy, Parkinson’s and Huntington’s diseases, multiple sclerosis. It is emphasized that psychopathological syndromes are not pathognomony for certain neurological diseases. Among the signs that help in the correct diagnosis of mental disorders caused by neurological pathology, their sudden occurrence on heteronomy soil with very variable and atypical for mental diseases of clinical manifestations, the absence of aggravated by mental illness (including family) history, resistance to the drugs commonly used in psychiatric pathology, the patient’s intake of drugs, among side effects which are mental disorders. In the diagnosis, the key is the correct assessment of neurological status, its dynamics, as well as confirmed by paraclinical research methods, in patients with neurological diseases, which in themselves can lead to the development of mental disorders. However, ignoring the features of mental disorders, the lack of a clinically adjusted approach to this category of patients, difficulties in highlighting the most significant symptoms, can lead to misdiagnosis. Therefore, it is so important to know not only the neurological manifestations of certain neurological diseases, but also to properly navigate their mental manifestations. To solve this problem, it is necessary to closely interact psychiatrists with neurologists. Only with this condition will it be possible to effectively help the patient.

About the authors

Igo’r V. Damulin

Department of Neurology and Neurosurgery with Course Of Complex Rehabilitation, Faculty of Continuing Medical Education “Medical Institute of Russian Peoples’ Friendship University”; Department of Nervous Diseases and Neurosurgery “I.M. Sechenov First Moscow State Medical University (Sechenov University)”

Email: damulin@mmascience.ru
doctor of medical science, professor, Chief of the Department of Neurology and Neurosurgery with the Course of Complex Rehabilitation of the Faculty of Continuing Medical Education "Medical Institute of the Russian Peoples' Friendship University," 117198, Moscow; Professor of the Department of Nervous Diseases and Neurosurgery " I.M. Sechenov Moscow State Medical University (Sechenov University)", 119991, Moscow, Russian Federation 117198, Moscow, Russian Federation; 119991, Moscow, Russian Federation

D. V Romanov

Department of Psychiatry and Psychosomatics “I.M. Sechenov First Moscow State Medical University (Sechenov University)”

119991, Moscow, Russian Federation

I. V Ninoy

Department of Psychiatry and Psychosomatics “I.M. Sechenov First Moscow State Medical University (Sechenov University)”

119991, Moscow, Russian Federation

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