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Neuroanaesthesia and Coexisting Psychiatric Problems

  • Kiran Jangra
  • Navneh Samagh
Chapter

Abstract

Psychiatric illnesses are on the rise throughout the globe mainly due to enhanced awareness and advanced diagnostic modalities [1]. The actual prevalence is also rising due to the changing environmental factors including increasing population, lesser number of jobs, increasing competition at every step, declining moral and ethical values, job stress, altered lifestyles, lesser time available for self-care, etc. [2]. In India, the reported incidence of psychiatric disorders is much lower than the actual incidence of these diseases [3–6]. Unlike the other central nervous system (CNS) disorders, there are no anatomical defects, but there are only functional imbalances between different areas of the brain. In neurosurgical patients, the organic diseases can manifest as psychiatric disorder [7–9]. Most commonly recognised pathway leading to psychiatric disorders is deficiencies of major neurotransmitters of the brain including dopamine, norepinephrine and serotonin [10]. The pharmacological target for treatment of psychiatric illnesses is to increase the concentration of these neurotransmitters at effect site by either inhibiting the metabolism or reducing the reuptake at nerve ending. These psychotropic medications are associated with serious side effects and drug interactions [11].

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Kiran Jangra
    • 1
  • Navneh Samagh
    • 2
  1. 1.Department of Anaesthesia and Intensive CarePGIMERChandigarhIndia
  2. 2.Adesh Institute of Medical Sciences and ResearchBhatindaIndia

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