ABSTRACT
The aim of this report was the presentation of the extremely rare case of the arachnoid cyst of the brain, with only psychiatric manifestation. According to the literature and own experience the authors conclude, that the treatment of these patients would be interdisciplinary, both neurosurgical and psychiatric.
Subject(s)
Arachnoid Cysts/complications , Psychotic Disorders/complications , Psychotic Disorders/etiology , Psychotic Disorders/psychology , Adult , Antipsychotic Agents/therapeutic use , Arachnoid Cysts/pathology , Arachnoid Cysts/surgery , Chlorpromazine/therapeutic use , Humans , Magnetic Resonance Imaging , Male , Psychotic Disorders/drug therapyABSTRACT
GGT (gammaglutamyl-transpeptidase) activity and HDL (high density lipoprotein) cholesterol were assayed in the group of 67 alcohol addicts entering a detoxication treatment after a period of an intensive drinking. The same assays were repeated following 1-2 and 6-12 days of the abstinence. Both markers have shown high values in about 80% of patients immediately after the period of heavy drinking. HDL cholesterol concentration was decreasing more rapidly than GGT activity. Both markers may be of a practical value. However, it seems that GGT activity as the less dynamic test is better for detection of heavy drinkers whereas HDL cholesterol assay will be useful for abstinence monitoring in the course of alcohol withdrawal. It shows well short-term fluctuations reflecting abstinence and its relapses. Both assays are simple and inexpensive.
Subject(s)
Alcoholism/diagnosis , Cholesterol, HDL/analysis , gamma-Glutamyltransferase/metabolism , Adult , Alcoholism/blood , Biomarkers/analysis , Evaluation Studies as Topic , Female , Humans , Male , Middle AgedSubject(s)
Depressive Disorder/therapy , Electroconvulsive Therapy/instrumentation , Schizophrenia/therapy , Adult , Aged , Female , Humans , Male , Middle Aged , Poland , Technology Assessment, BiomedicalSubject(s)
Alcoholism/enzymology , Ethanol/adverse effects , Narcotics/adverse effects , Opioid-Related Disorders/enzymology , Substance Withdrawal Syndrome/enzymology , gamma-Glutamyltransferase/blood , Adult , Enzyme Inhibitors , Humans , Middle Aged , gamma-Glutamyltransferase/antagonists & inhibitorsSubject(s)
3,4-Dihydroxyphenylacetic Acid/urine , Carboxylic Acids/urine , Catecholamines/blood , Glycols/urine , Hydroxyindoleacetic Acid/urine , Methoxyhydroxyphenylglycol/urine , Phenylacetates/urine , Adult , Depression/metabolism , Female , Homovanillic Acid/urine , Humans , Male , Middle Aged , Vanilmandelic Acid/urineSubject(s)
Depression/psychology , Self-Assessment , Adult , Aged , Depressive Disorder/psychology , Female , Humans , Male , Middle Aged , Psychiatric Status Rating Scales , Test Anxiety ScaleABSTRACT
The authors examined the basic reasons for the therapeutic failures of a group of 56 patients. The information concerning the prophylactic cures is similar to that of other authors. The percentage (29) of failures corresponds to the former examinations. This number is influenced by various factors, which are maned in the submitted work.