The Journal of neuropsychiatry and clinical neurosciences
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J Neuropsychiatry Clin Neurosci · Jan 1999
Case ReportsEpisodically remitting akinetic mutism following subarachnoid hemorrhage.
Akinetic mutism is characterized by alertness with near complete absence of volitional activity. The authors report a case of episodically remitting akinetic mutism following subarachnoid hemorrhage.
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Electroconvulsive therapy (ECT) has been used to treat the psychiatric complications of Parkinson's disease. Concurrent improvement of parkinsonian motor symptoms has been noted. This retrospective study compared the outcomes of 25 patients with parkinsonism receiving ECT for psychiatric indications with outcomes of 25 patients (matched for age and gender) without neurological disease also receiving ECT for psychiatric indications. ⋯ No differences in efficacy of ECT were found between the two groups. Fourteen of the 25 patients with Parkinson's symptoms were noted to have at least transient improvement in motor function at discharge. ECT is an effective treatment for patients with parkinsonism and psychiatric comorbidity.
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J Neuropsychiatry Clin Neurosci · Jan 1998
Traumatic brain injury in children and adolescents: psychiatric disorders at one year.
Factors predictive of psychiatric outcome in the second 6 months following traumatic brain injury (TBI) in 43 children and adolescents were assessed prospectively. The outcome measure was the presence of a psychiatric disorder not present before the injury ("novel"). ⋯ Severity of injury, when reclassified as severe versus mild/moderate TBI, significantly predicted novel psychiatric disorders. These data suggest that some children, identifiable through clinical assessment, are at increased risk for psychiatric disorders following TBI.