Wednesday, 27 April 2011

Movement of the patient monotonous ...

Movement of the patient are monotonous and are essentially subcortical hyperkinesia, possibly aggressive, impulsive actions, echopraxia, negativism. The facial expression is often not the poses, sometimes there paramimiya: mimics top of the face expresses the joy, laughing eyes and the mouth angry, teeth clenched, his lips tightly compressed, and vice versa. One can observe facial asymmetry. In severe cases, it is absent, the excitement dumb or sick growls, grunts, cries out individual words, syllables, pronounces the vowels. Some patients found an uncontrollable desire to speak. Here we are a pretentious, stilted, marked stereotypy of speech, perseveration, echolalia, dissociation, verbigeration - a meaningless string of one word to another. Transitions from catatonic excitement in stuporoznoe state of stupor or a state of arousal. Catatonia is divided into Lucid and oneyroidnuyu. Lucid catatonia occurs without darkened-of consciousness can be expressed with negativism or stupor, numbness or impulsive excitation. Oieyroidnaya catatonia includes oneyroidnoe stupor, catatonic excitement with confusion or stupor with waxy flexibility. Catatonia frequently diagnosed with schizophrenia, sometimes - for epilepsy or exogenous-organic psychoses. Hebephrenic syndrome similar to catatonic and origin and manifestations. Characterized by excitation with mannerism, pretentiousness movements and speech, foolish. Fun, apery jokes and do not infect others. Patients teasing, grimacing, lisp, distort words and phrases, somersault and dance. Observed transitions between catatonia and hebephrenia. As part of schizophrenia in adolescents are sometimes diagnosed with r e b o and a n ews L - is not fully unfolded hebephrenic state, manifested bloom foolish, carelessness in behavior disorders, and antisocial tendencies drives. Neurotic syndrome feature neurotic syndrome is a shallow level of disorders, including but asthenic, affective symptoms and the actual neurotic (obsessive, phobic, hysterical, hypochondriacal nebredovye). This pathological feature of partial mental disorders, a critical attitude towards them, the presence of consciousness of the disease, an adequate environmental assessment and related weakness of mental functions copious somatovegetative symptoms. Characterized by a lack of knowledge of gross violations. In the structure of neurotic disorders, syndromes, there is no objective consciousness, delusions, hallucinations, dementia, mania, stupor, excitement. If true neurotic disorders remains intact personality. Moreover, the effect of the external hazard is mediated by the individual patient, her reaction to characterize the very identity, its social nature. All these features allow you to qualify such violations as a borderline mental pathology, located on the border between normality and pathology, between somatic and mental illnesses.

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