No positive signs of organic mental disorder diagnosis and treatment of 5 patients were reviewed.doc

 PAGE \* MERGEFORMAT 8 No positive signs of organic mental disorder diagnosis and treatment of 5 patients were reviewed [Keywords:] organic mental disorder; no positive signs; Review 7 years in clinical work, every year saw a number of special cases, some as a case reported, but most did not discuss with you. Now a representative 5 cases no positive signs of organic mental disorders for patients to report, hope to give you some inspiration. 1 Clinical data Cases of 1,16-year-old girl, met in 2005 outpatient. Episodic unconsciousness, convulsions limbs for 5 years. Has been by “epileptic” treatment taking sodium valproate, phenytoin and other drug treatment, the condition when light weight. A half months frequent seizures, and headache, vomiting. checkup when no positive signs. past not been done brain CT. taking into account the headache, vomiting, increased intracranial pressure might Department recommended that the family be integrated with the patient to the hospital for brain CT examination in clinical diagnosis and treatment. periventricular brain CT showed a huge tumor. Fixed previous diagnosis, recommended to the surgical treatment of neurological surgery. Cases of 2,35-year-old, male, hospitalized in 2004. The total duration of 3 years, to doubt themselves and others, act weird as the main symptoms. Once said that “schizophrenia” hospitalized twice, poor efficacy. I charge for a while time observed: patients with a sense of antipsychotics Temin, small doses cause difficulty walking in patients with dystonia or disturbance of consciousness and other side effects, and symptoms of daytime light weight characteristics of the night. consistent with some characteristics of organic mental disorders. suggested family General hospital with a patient to head CT. The results showed that white matter lesions. to do lumbar puncture CSF pressure measured at the normal range. After the amendment to a diagnosis of “normal intracranial pressure with leuko