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Neuropsychiatric Disturbances following Brainstem Lesions

Published online by Cambridge University Press:  29 January 2018

Michael R. Trimble
Affiliation:
The National Hospitals for Nervous Diseases; The Institute of Neurology, University of London
Jeffrey L. Cummings
Affiliation:
The National Hospitals for Nervous Diseases, Queen Square, London WC1

Summary

Two patients are described who developed behavioural changes following brainstem injuries. Both patients had neuro-ophthalmological signs indicative of lesions of the rostral brainstem, which were confirmed by CT scanning. It is suggested that the behavioural changes were related to interruption of nearby limbic, hypothalamic and reticular structures.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Albert, M. L. Feldman, R. G. & Willis, A. L. (1974) The ‘subcortical dementia’ of progressive supranuclear palsy. Journal of Neurology, Neurosurgery and Psychiatry, 37, 121130.Google Scholar
Cairns, H. Oldfield, R. C. Pennybacker, J. B. & Whitteridge, D. (1941) Akinetic mutism with an epidermoid cyst of the 3rd ventricle. Brain, 64, 273290.Google Scholar
Caplan, L. R. (1980) The ‘top of the basilar’ syndrome. Neurology, 32, 7279.Google Scholar
Christoff, N. (1974) Clinicopathologic study of vertical eye movements. Archives of Neurology, 31, 18.CrossRefGoogle ScholarPubMed
French, J. D. (1952) Brain lesions associated with prolonged unconsciousness. Archives of Neurology and Psychiatry, 68, 727740.CrossRefGoogle ScholarPubMed
Fulton, J. F. & Bailey, P. (1929) Tumors in the region of the third ventricle: their diagnosis and relation to pathological sleep. Journal of Nervous and Mental Disease, 69, 125; 145–64; 261–77.Google Scholar
Hatcher, M. A. & Klintworth, G. K. (1966) The Sylvian aqueduct syndrome. Archives of Neurology, 15, 215222.Google Scholar
Halmagyi, G. M. Evans, W. A. & Hallinan, J. M. (1978) Failure of downward gaze. Archives of Neurology, 35, 2226.Google Scholar
Lishman, W. A. (1978) Organic Psychiatry, pp 411422. Oxford: Blackwell Scientific Publications.Google Scholar
Nashold, B. S. Jr. Wilson, W. P. & Slaughter, D. G. (1969) Sensations evoked by stimulation in the midbrain of man. Journal of Neurosurgery, 30, 1424.Google Scholar
Nauta, W. J. H. (1958) Hippocampal projections and related neural pathways to the midbrain in the cat. Brain, 81, 319340.Google Scholar
Nauta, W. J. H. Smith, C. P. Faull, R. L. M. & Domesick, V. B. (1978) Efferent connections and nigral afferents of the nucleus accumbens septi in the rat. Neuroscience, 3, 385401.Google Scholar
Sacks, O. (1973) Awakenings. London: Duckworth.Google Scholar
Schildkraut, J. J. & Kety, S. S. (1967) Biogenic amines and emotion. Science, 156, 2130.Google Scholar
Schwab, R. S. Fabing, H. D. & Prichard, J. S. (1951) Psychiatric symptoms and syndromes in Parkinson's disease. American Journal of Psychiatry, 107, 901907.CrossRefGoogle ScholarPubMed
Segarra, J. M. (1970) Cerebral vascular disease and behaviour. I. The syndrome of the mesencephalic artery (basilar artery bifurcation). Archives of Neurology, 22, 408418.Google Scholar
Slater, E. & Beard, A. W. (1963) The schizophrenia-like psychoses of epilepsy. I. Psychiatric aspects. British Journal of Psychiatry, 109, 95112.Google Scholar
Snyder, S. H. Banerjee, S. P. Yamamura, H. I. & Greenberg, D. (1974) Drugs, neurotransmitters, and schizophrenia. Science, 184, 12431253.CrossRefGoogle ScholarPubMed
Stevens, J. R. (1978) Disturbances of ocular movements and blinking in schizophrenia. Journal of Neurology, Neurosurgery, and Psychiatry, 40, 10241030.Google Scholar
Ungerstedt, U. (1971) Stereotaxic mapping of the monoamine pathways in the rat brain. Acta Physiologica Scandinavia, Suppl 367, 148.CrossRefGoogle Scholar
Victor, M. Adams, R. D. & Collins, G. H. (1971) The Wernicke-Korsakoff syndrome. F. A. Paris, Philadelphia.Google ScholarPubMed
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