Psychiatric aspects of tumours of the central nervous system
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.51338/rppsm.2018.v1.i3.82 |
Resumo: | Abstract: The incidence of brain tumours has increased in recent years. They represent the second most common cause of death attributable to neurological conditions. Although expansive brain lesions often lead to observation by Neurology or Neurosurgery, it is not uncommon for psychiatric symptoms to be the reason for initial contact with medical care. Brain tumours may present as symptomatology similar to the so-called primary, or functional, psychiatric disorders. However, in contrast to psychiatric disease in other types of cancer, where adjustment disorders predominate, organic syndromes are the most frequent diagnosis in patients with CNS tumours. Anatomic location represents one of several factors that contribute to the nature and severity of psychiatric conditions. Tumours of the frontal lobe are more frequently associated with changes in executive function, amotivational syndrome and personality changes. Temporal tumours can trigger psychotic symptoms such as hallucinations and delusions. The treatment of the symptomatology will essentially involve removal of the lesion whenever possible. Nevertheless, symptomatic treatment of psychiatric manifestations should always take place. Psychopharmacology, psychotherapy and psychoeducation of caregivers are the best modes of treatment. |
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Psychiatric aspects of tumours of the central nervous systemAspetos psiquiátricos dos tumores do sistema nervoso centralCentral Nervous System NeoplasmsPsycho-oncologyPsychiatric Symptoms.Tumores do Sistema Nervoso CentralPsico-OncologiaSintomas Psiquiátricos.Abstract: The incidence of brain tumours has increased in recent years. They represent the second most common cause of death attributable to neurological conditions. Although expansive brain lesions often lead to observation by Neurology or Neurosurgery, it is not uncommon for psychiatric symptoms to be the reason for initial contact with medical care. Brain tumours may present as symptomatology similar to the so-called primary, or functional, psychiatric disorders. However, in contrast to psychiatric disease in other types of cancer, where adjustment disorders predominate, organic syndromes are the most frequent diagnosis in patients with CNS tumours. Anatomic location represents one of several factors that contribute to the nature and severity of psychiatric conditions. Tumours of the frontal lobe are more frequently associated with changes in executive function, amotivational syndrome and personality changes. Temporal tumours can trigger psychotic symptoms such as hallucinations and delusions. The treatment of the symptomatology will essentially involve removal of the lesion whenever possible. Nevertheless, symptomatic treatment of psychiatric manifestations should always take place. Psychopharmacology, psychotherapy and psychoeducation of caregivers are the best modes of treatment.Resumo: A incidência de tumores cerebrais tem crescido nos últimos anos. Representam a segunda causa de morte mais frequente atribuível a doença neurológica. Embora as lesões cerebrais expansivas conduzam frequentemente a observação por neurologia ou neurocirurgia, não é raro que sejam os sintomas ditos psiquiátricos a motivar o contacto inicial com os cuidados médicos. Os tumores cerebrais podem apresentar-se sob a forma de sintomatologia semelhante às perturbações psiquiátricas ditas primárias, ou funcionais. No entanto, contrastando com o que ocorre a propósito de doença psiquiátrica noutros tipos de cancro, em que predominam as perturbações da adaptação, as síndromas ditas orgânicas são o diagnóstico mais frequente nos doentes com tumores do SNC. A localização anatómica representa um de vários fatores contribuintes para a natureza e a gravidade dos quadros psiquiátricos. Os tumores do lobo frontal associam-se mais frequentemente a alterações da função executiva, síndrome amotivacional e alterações da personalidade. Os tumores temporais podem provocar sintomas psicóticos como alucinações e delírios. O tratamento da sintomatologia passará essencialmente pela remoção da lesão, sempre que possível. Não obstante, o tratamento sintomático das manifestações psiquiátricas deverá ter sempre lugar. A psicofarmacologia, a psicoterapia e a psicoeducação aos cuidadores apresentam-se como as modalidades de tratamento com melhores resultados.Sociedade Portuguesa de Psiquiatria e Saúde Mental2018-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.51338/rppsm.2018.v1.i3.82oai:ojs.www.revistapsiquiatria.pt:article/82Revista Portuguesa de Psiquiatria e Saúde Mental; No. 3 (2018): Revista Portuguesa de Psiquiatria e Saúde Mental; 18-24Revista Portuguesa de Psiquiatria e Saúde Mental; N.º 3 (2018): Revista Portuguesa de Psiquiatria e Saúde Mental; 18-242184-54172184-5522reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.revistapsiquiatria.pt/index.php/sppsm/article/view/82https://doi.org/10.51338/rppsm.2018.v1.i3.82https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/82/40https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/82/41Direitos de Autor (c) 2018 Revista Portuguesa de Psiquiatria e Saúde Mentalinfo:eu-repo/semantics/openAccessMadeira, NunoOliveira, PedroSantos, TiagoAlbuquerque, Emília2022-09-06T09:37:38Zoai:ojs.www.revistapsiquiatria.pt:article/82Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:37:10.666018Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Psychiatric aspects of tumours of the central nervous system Aspetos psiquiátricos dos tumores do sistema nervoso central |
title |
Psychiatric aspects of tumours of the central nervous system |
spellingShingle |
Psychiatric aspects of tumours of the central nervous system Madeira, Nuno Central Nervous System Neoplasms Psycho-oncology Psychiatric Symptoms. Tumores do Sistema Nervoso Central Psico-Oncologia Sintomas Psiquiátricos. |
title_short |
Psychiatric aspects of tumours of the central nervous system |
title_full |
Psychiatric aspects of tumours of the central nervous system |
title_fullStr |
Psychiatric aspects of tumours of the central nervous system |
title_full_unstemmed |
Psychiatric aspects of tumours of the central nervous system |
title_sort |
Psychiatric aspects of tumours of the central nervous system |
author |
Madeira, Nuno |
author_facet |
Madeira, Nuno Oliveira, Pedro Santos, Tiago Albuquerque, Emília |
author_role |
author |
author2 |
Oliveira, Pedro Santos, Tiago Albuquerque, Emília |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Madeira, Nuno Oliveira, Pedro Santos, Tiago Albuquerque, Emília |
dc.subject.por.fl_str_mv |
Central Nervous System Neoplasms Psycho-oncology Psychiatric Symptoms. Tumores do Sistema Nervoso Central Psico-Oncologia Sintomas Psiquiátricos. |
topic |
Central Nervous System Neoplasms Psycho-oncology Psychiatric Symptoms. Tumores do Sistema Nervoso Central Psico-Oncologia Sintomas Psiquiátricos. |
description |
Abstract: The incidence of brain tumours has increased in recent years. They represent the second most common cause of death attributable to neurological conditions. Although expansive brain lesions often lead to observation by Neurology or Neurosurgery, it is not uncommon for psychiatric symptoms to be the reason for initial contact with medical care. Brain tumours may present as symptomatology similar to the so-called primary, or functional, psychiatric disorders. However, in contrast to psychiatric disease in other types of cancer, where adjustment disorders predominate, organic syndromes are the most frequent diagnosis in patients with CNS tumours. Anatomic location represents one of several factors that contribute to the nature and severity of psychiatric conditions. Tumours of the frontal lobe are more frequently associated with changes in executive function, amotivational syndrome and personality changes. Temporal tumours can trigger psychotic symptoms such as hallucinations and delusions. The treatment of the symptomatology will essentially involve removal of the lesion whenever possible. Nevertheless, symptomatic treatment of psychiatric manifestations should always take place. Psychopharmacology, psychotherapy and psychoeducation of caregivers are the best modes of treatment. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.51338/rppsm.2018.v1.i3.82 oai:ojs.www.revistapsiquiatria.pt:article/82 |
url |
https://doi.org/10.51338/rppsm.2018.v1.i3.82 |
identifier_str_mv |
oai:ojs.www.revistapsiquiatria.pt:article/82 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/82 https://doi.org/10.51338/rppsm.2018.v1.i3.82 https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/82/40 https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/82/41 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2018 Revista Portuguesa de Psiquiatria e Saúde Mental info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2018 Revista Portuguesa de Psiquiatria e Saúde Mental |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Psiquiatria e Saúde Mental |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Psiquiatria e Saúde Mental |
dc.source.none.fl_str_mv |
Revista Portuguesa de Psiquiatria e Saúde Mental; No. 3 (2018): Revista Portuguesa de Psiquiatria e Saúde Mental; 18-24 Revista Portuguesa de Psiquiatria e Saúde Mental; N.º 3 (2018): Revista Portuguesa de Psiquiatria e Saúde Mental; 18-24 2184-5417 2184-5522 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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