Psychoorganic syndrome - a symbol of pathologies that lead to organic brain damage, which is characterized by a combination of three main symptoms: decrease of intelligence, memory impairment and emotional lability (triad Walter Byuelya). Depending on what part of the brain is damaged, can be attached to the triad and other mental disorders - visual and auditory hallucinations, Korsakoff syndrome, as well as neurological disorders, until clouding of consciousness and coma.
Reasons psychoorganic syndrome
The reasons are the following psycho-organic syndrome pathological processes:
- Vascular diseases of the brain;
- Central nervous system;
- Traumatic brain injury;
- Chronic metabolic disorders;
- Tumors and abscesses.
Mental weakness is also possible in syphilis, encephalitis and epilepsy. Equally it often occurs because atrophic processes in old age, such as Alzheimer's disease.
Classification and symptoms
There are 4 stages of psycho-organic syndrome:
Asthenic syndrome is characterized by the following features:
- Physical and mental exhaustion;
- Incontinence affects;
- A slight decrease in intelligence;
- Lightly dismnesticheskimi disorders.
Patients with sudden changes in weather conditions cause deterioration. There heat intolerance.
The explosive stage clinical picture psychoorganic syndrome include:
- The combination of emotional lability and aggression with little memory disorders and deteriorating adaptation;
- Loss of self-control, strengthening of drives and a weakening of will delay;
- Chronic alcoholism, which develops as a result of trying to lift the spirits inner tension and irritability, which only worsens the general condition and enhances organic failure;
- Tendency to overvalued ideas and paranoia;
- Hysterical reactions to form non-compliance or obstacles in the implementation of plans.
When euphoric or morioidnom, variant psychoorganic syndrome operation is severely limited. This condition is accompanied by improvement in mood with euphoria and complacency, a significant reduction in their criticism of the state, serious memory disorders. The hallmark of a violent laughing or crying, the cause of which is quickly forgotten, and mimic the reaction may persist for a long time without the emotional content. Some patients have attacks of anger, helplessness and alternating with tearfulness.
When apathetic form develops apatoabulicheskih state. Range of interests narrows sharply, appears indifferent to themselves and others. Symptoms resemble schizophrenia or epilepsy, from which the psycho-organic syndrome characterized dismnesticheskimi disorders, fatigue and violent tears and laughter. Pronounced signs of organic damage to the central nervous system.
Psychoorganic syndrome in children
Several age characteristics has psychoorganic syndrome in children. The underlying organic brain damage occur under intense evolutionary development of the systems and functions of the brain in varying degrees of morpho-physiological immaturity of the central nervous system.
Until 4-5 years decreased intelligence reflected in a slight delay of speech development and poor vocabulary. Verbal tasks are performed worse than non-verbal. No interest in stories and fairy tales, bad memorable songs and poems. Neuropathic disturbances resemble the symptoms of children's innate nervousness and include:
- Regurgitation and vomiting;
- Incorrect alternation of waking and sleeping;
- Poor appetite;
- High sensitivity to external influences;
- The unstable mood;
- General motor disinhibition;
- Disturbances of perception;
With 4-5 years of psycho-organic syndrome in children is characterized by a predominantly emotional and volitional movement disorders:
- Increased affective excitability;
- Lack of a sense of distance;
- Frequent changes of mood;
- Motor disinhibition;
- Little attention;
- Delays in motor development.
Vegetative disorders while recede into the background.
School children and adolescents psycho-organic syndrome appears more varied and intellectual dysfunction, impulsiveness and lack of self-criticism are more pronounced.
Treatment psychoorganic syndrome
Assessment of the severity of psycho-organic syndrome, in both adults and children, is carried out using test meteopaticheskie reactions. So-called syndrome Pirogov is that the patient's condition changes when increasing or decreasing barometric pressure. A more serious condition is diagnosed when a person feels worse to pressure fluctuations, and not after them.
Treatment psychoorganic syndrome should be aimed at removing its root causes. If confirmed by organic diseases of the brain used antibiotics, antivirals and hormones. As pathogenetic therapy detoxify and dehydration, as well as prescribe medication, which normalize hemodynamics and metabolism of the brain. Symptoms treated with anticonvulsants, absorbable and vascular means. Achieve a positive effect as psychotropic drugs and immunotherapy.