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Non‐cognitive psychiatric symptoms in vascular and Alzheimer brain disease
Author(s) -
Birkett D. Peter,
Agdeppa Julita
Publication year - 1995
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.930100810
Subject(s) - dementia , psychosis , alzheimer's disease , autopsy , psychiatry , stroke (engine) , vascular dementia , psychology , disease , cerebral infarction , medicine , central nervous system disease , degenerative disease , pediatrics , ischemia , mechanical engineering , engineering
Psychiatric symptoms, other than dementia, are compared in two groups of mental hospital patients who came to autopsy and had complete brain examination. One group had Alzheimer brain changes with no cerebral infarction. The other group had cerebral infarction with no Alzheimer brain changes. Onset with a non‐dementing paranoid illness after the age of 50 was commoner in the Alzheimer group. There was no predominance of affective symptoms in either group. Suddenness of onset of psychosis distinguished the infarct cases, even in cases where there was no neurologically evident stroke, and when there were long time intervals between onset and death. Those destined to suffer Alzheimer brain changes had a less sudden onset, fewer discharges and rehospitalizations and more frequent transition to dementia.§