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NEUROLOGY and PSYCHIATRY Psychiatric Ilness Depressi SimptomNeurologik

Pseudodemensia KomplikasiNeurologik Distonia acute Triger Penyakit Epilepsi& Migraine Psychiatric Symptom Neurologik&Psychiatri complication

Terapi Psychiatric Trangulizer Mayor Factor Psychiatric Neurological Disease Intoxicasi obat

DD : PENYAKIT ORGANIK PSYCHIATRY Comparison of Organic Brain Syndromes and Psychiatry Symptom Clouding of Consciusness Seizures Memory Visual hallucinations Organic disease Common Psychiatry disease Rare

Common Impaired Commonly without auditory

Rare Often preserved Rare without auditory hallucinations

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hallucinations Tactile hallucinations Commonly without auditory hallucinations Sometimes Rare without auditory hallucinations

Focal neurological signs Disturbed sleep Paranoia Feelings of Control Headache

Rare

Reversal of Sleep cycle Common Rare

Insomnia

Common Sometimes

Sometimes

Sometimes

Manifestasi Psikiatrik dari Gangguan Neurologik Kesadaran menurun GangguanNeurologik

Anxietas = Metabolik Encepalopati Hipoxia Thyoroxicosis


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Delirium Tremens

GANGGUAN LOBUS FRONTALIS Disinhibition ; Hipomanic, Hipersex ( Orbitofrontal ) Apathy, Gangguan motor dan Speech ( Mesial Frontal Lessians ) Gangguan Fungsi Executive, Gangguan Attensi ( Lateral Convex ) HALUSINASI VISUAL Acute Confusional State Lesi Mata LesiBatangOtak DemensiaLewy Bodies Parkinson Levodopa Visual Cortex

HALUSINASI PENDENGARAN Bersama sama halusinasi visual Khas gangguan Psikiatri

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ANXIETAS 25 35 % rawat Jalan Neurologis

DEPRESI Parkinson Disease 50 % Epilepsi 38 % Alzheimer Disease 30% Multiple Sclerosis 25 % Stroke 25 % Trauma Kepala 25 %

OBSESIVE COMPULSIVE Parkinson Disease Huntingtons Disease

EMOTIONAL LABILITY Pseudobulbar Palsy Multiple Sclerosis Cerebrovasculair Disease Motoneuron

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PATHOLOGICAL LAUGHTER / CRYING BatangOtak Thalamus

DELUSION Alzheimer Disease Vascular Demensia Focal Epilepsy Multiple Sclerosis Parkinson Post Traumatic Brain Injury Psychosis Epilepsi Post Ictal Psychosis Ictal Inter Ictal

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Problems With Medications Used In Neurology And Psychiatry Drug Dopaminergic agonist Dopaminergic antagonist Use Parkinsonism Psychosis, vomiting, vestibular sedative Epilepsy Adverse effect Psychosis and Hallucination Parkinsonism and other movement disorders Sedation, sometimes depression and psychosis Seizures Solution SulpirideRisper idone Procyclidine

Anticonvulsant

Antidepressant Antipsychotic

Antidepressant

Depression

Antileptic

NEUROPSYCHIATRIC EFFECTS OF DRUGS OF ABUSE Drug Neurological complications Intoxication stupor and coma, Wernickes Psychiatric Complications Acute and chronic auditory hallucinosis,

Alcohol

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Encephalopathy, Korsakoff syndrome, seizures, delirium tremens, myopathy, neuropathy, cerebellar symdrome Amphetamine Organic hallucinosis, NMS-type symdrome, cerebral vasculitis Organic hallucinosis, NMS-type symdrome, destruction of serotonergic fibres Organic

personality disintegration, morbid jealousy

Chronic psychosis

MDMA (ecstasy)

Not yet established

Cocaine

Depression,

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hallucinosis, stroke (common), subarachnoid and cerebral haemorrhage Lysergic acid (LSD) Organic hallucinosis

mania, phobic disorders, anxiety disorders

Chronic psychosis, hallucinatory flashbacks

NMS, Neuroleptic, malignant syndrome

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