Neurosis Following Head Injury
When an individual sustains a head injury a variety of psychiatric syndromes may ensue, depending on the site and severity of the injury, the premorbid personality of the victim, and the psychosocial circumstances attending the accident (Weinstein and Kahn, 1955). Thus, the patient with a focal lesion may develop an aphasia with secondary personality changes. Or, he may develop a convulsive disorder with specific ictal disturbances of thought, feeling, and behavior. Generalized severe brain damage with a prolonged period of unconsciousness may result in a reaction of psychotic delirium during the acute recovery phase. Chronic widespread brain damage may result in a spectrum of amnestic-confabulatory states. Milder degrees of diffuse brain damage may cause the post-concussion syndrome characterized by frontal and occipital throbbing headaches (present on waking, accentuated by bending, coughing, or sneezing, and intensified by alcohol intake), “dizzy spells” with transient staggering, tinnitus, irritability, impaired concentration, hypersensitivity to light and noise, and fatigability.
KeywordsDepression Schizophrenic Disorder Stein Peru Weinstein
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