Book contents
- Frontmatter
- Contents
- Preface
- Contributors
- SECTION I NEUROLOGICAL EXAMINATION AND NEURODIAGNOSTIC TESTING
- SECTION II COMMON NEUROLOGICAL PRESENTATIONS
- SECTION III SPECIFIC NEUROLOGICAL CONDITIONS
- 11 Central Nervous System Infections in Adults
- 12 Cerebrovascular Disease
- 13 Movement Disorders
- 14 Peripheral Nervous System and Neuromuscular Disorders
- 15 Guillain-Barré Syndrome
- 16 Myasthenia Gravis
- 17 Musculoskeletal and Neurogenic Pain
- 18 Neuro-Ophthalmological Emergencies
- 19 Multiple Sclerosis
- 20 Dementia
- 21 Brain Tumors and Other Neuro-Oncological Emergencies
- 22 Neuropsychiatry
- 23 Increased Intracranial Pressure and Herniation Syndromes
- 24 Idiopathic Intracranial Hypertension
- 25 Normal Pressure Hydrocephalus
- 26 Nontraumatic Spinal Cord Emergencies
- 27 Sleep Disorders
- SECTION IV NEUROLOGICAL TRAUMA
- SECTION V PEDIATRIC NEUROLOGICAL EMERGENCIES
- SECTION VI PREGNANCY-RELATED NEUROLOGICAL EMERGENCIES
- SECTION VII NEUROTOXICOLOGY
- SECTION VIII BRAIN DEATH
- Index
- References
22 - Neuropsychiatry
from SECTION III - SPECIFIC NEUROLOGICAL CONDITIONS
Published online by Cambridge University Press: 06 August 2009
Book contents
- Frontmatter
- Contents
- Preface
- Contributors
- SECTION I NEUROLOGICAL EXAMINATION AND NEURODIAGNOSTIC TESTING
- SECTION II COMMON NEUROLOGICAL PRESENTATIONS
- SECTION III SPECIFIC NEUROLOGICAL CONDITIONS
- 11 Central Nervous System Infections in Adults
- 12 Cerebrovascular Disease
- 13 Movement Disorders
- 14 Peripheral Nervous System and Neuromuscular Disorders
- 15 Guillain-Barré Syndrome
- 16 Myasthenia Gravis
- 17 Musculoskeletal and Neurogenic Pain
- 18 Neuro-Ophthalmological Emergencies
- 19 Multiple Sclerosis
- 20 Dementia
- 21 Brain Tumors and Other Neuro-Oncological Emergencies
- 22 Neuropsychiatry
- 23 Increased Intracranial Pressure and Herniation Syndromes
- 24 Idiopathic Intracranial Hypertension
- 25 Normal Pressure Hydrocephalus
- 26 Nontraumatic Spinal Cord Emergencies
- 27 Sleep Disorders
- SECTION IV NEUROLOGICAL TRAUMA
- SECTION V PEDIATRIC NEUROLOGICAL EMERGENCIES
- SECTION VI PREGNANCY-RELATED NEUROLOGICAL EMERGENCIES
- SECTION VII NEUROTOXICOLOGY
- SECTION VIII BRAIN DEATH
- Index
- References
Summary
Neuropsychiatric patients with underlying central nervous system (CNS) disturbance can present to the emergency department because of a change in behavior. A detailed and accurate history is obtained from anyone who presents with a cognitive, behavioral, emotional, or other neuropsychiatric disturbance. In neuropsychiatric evaluation, the mental status examination is of paramount importance. The possibility of alcohol or illicit drug use is investigated thoroughly in any patient who presents with acute mental status or behavioral changes. Acute symptoms may be caused by worsening of a neurological or medical condition or by another underlying neuropsychiatric condition. Chronic neuropsychiatric symptoms that worsen are commonly associated with psychosocial stressors and a related adjustment disorder. Certain conditions of a psychiatric nature, including destructiveness, disorganization, depression, disorientation due to severe organic mental disturbances, and conditions requiring detoxification, require psychiatric hospitalization, whether or not the patient has an underlying CNS disturbance.
Keywords
- Type
- Chapter
- Information
- Principles and Practice of Emergency NeurologyHandbook for Emergency Physicians, pp. 236 - 241Publisher: Cambridge University PressPrint publication year: 2003
References
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