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Primary Psychiatric Behavioral Disorders Indicative of Neuropathological Processes: A Review of 125 Cases

Received: 26 January 2022    Accepted: 17 February 2022    Published: 25 February 2022
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Abstract

Some manifestations attributed to a primarily psychiatric disorder may result from an identified or unidentified neurological lesion; in other words, psychiatric symptoms are often a common determinant for both neurological pathologies and psychopathological disorders. The objective of this work was to study the radio-clinical profile of psychiatric manifestations attributable to a neurological process. We therefore carried out a retrospective cross-sectional study with a descriptive aim. The survey took place from December 2018 to March 2019 at the Abidjan Addictology and Mental Hygiene Service (SAHM) of the National Institute of Public Health (INSP). The period studied was 08 years (2012-2019). Thus, 47169 patient files were identified over this period (2012 to 2019). A total of 125 patient files meeting the inclusion criteria were selected from an exhaustive sampling. It should be noted that the use of specific biomarkers was not possible in our context. There was a modest female predominance of 52.80%, a mean age of 65 years. Clinical characteristics revealed a history of hypertension (23.2%). Call signs were amnesia (80.5%), incoherent speech (45.5%) and the delirium-hallucination dyad (40.9%). A dementia syndrome was evoked in a proportion of (61.6%); it required neuroimaging. In 96.8% of the cases, the brain scan revealed cortico-subcortical atrophy lesions (66.4%), but MRI could only be performed in (3.2%). Degenerative, vascular or mixed etiologies were evoked in 34.4%, 15.2% and 30.4% respectively. The risk of excessive psychiatry and misdiagnosis of behavioral disorders reveals the interest of a more elaborate neuropsychiatric evaluation and the use of neuroimaging.

Published in American Journal of Psychiatry and Neuroscience (Volume 10, Issue 1)
DOI 10.11648/j.ajpn.20221001.14
Page(s) 20-25
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Behavioral Disorder, Psychiatry, Neuroimaging, Dementias

References
[1] OMS. Rapport sur la santé mentale dans le monde. Santé mentale: nouvelle conception, nouveaux espoirs. [WHO. World mental health report. Mental health: new thinking, new hope.] Genève, Octobre 2001.
[2] Defradat P. «Troubles du comportement», [Behavioral disorders] in http://www.ac-grenoble.fr/. Consulté le 17/01/2019.
[3] Tori K, Kalligeros M, Nanda A, et al. Association between dementia and psychiatric disorders in long-term care residents: An observational clinical study. Medicine (Baltimore). 2020; 99 (31): e21412. doi: 10.1097/MD.0000000000021412.
[4] Bagchi AD, Verdier JM, Simon SE. How many nursing home residents live with a mental illness? Psychiatr Serv. 2009; 60 (7): 958-964. doi: 10.1176/ps.2009.60.7.958.
[5] Mielke MM, Vemuri P, Rocca WA. Clinical epidemiology of Alzheimer's disease: assessing sex and gender differences. Clin Epidemiol. 2014; 6: 37-48. Published 2014 Jan 8. doi: 10.2147/CLEP.S37929.
[6] Attoh, T., et al. "Determinants de l’hypertension arterielle a Adzope-Cote d’Ivoire. [Determinants of high blood pressure in Adzope, Ivory Coast.]" Revue Bio-Africa. 2016; 15: 17-25.
[7] Chamontin B, Poggi L Lang T et al. Prevalence, treatment and control of hypertension in the French population: data from a survey on high blood pressure in general practice, 1994. Am J Hpertens 1998; 11: 759-62.
[8] Leys D., et al. "Hypertension artérielle et cerveau." Enc Med Chir. (Elsevere-Paris). Neurol (1999).
[9] Chettati M. Les démences en neurologie diagnostic et étiologies en milieu hospitalier. [Dementia in neurology diagnosis and etiologies in the hospital setting.] Marrakeck: Université de Cadi Ayyad; faculté de médecine et de pharmacie; 2014, n°72.
[10] Kanner AM, Palac S. Complications neuropsychiatriques de l'épilepsie. Curr Neurol Neurosci Rep 2, 365–372 (2002). https://doi.org/10.1007/s11910-002-0012-7.
[11] Demeulemeester M, Moroni C, Kochman F, Thomas P, JardriR. Hallucinations et cognition: une modé-lisation au service de notre pratique enneuropsychologie. [Hallucinations and cognition: a model for our neuropsychological practice.] RevNeuropsychol. 2014; 6 (2): 117-128 doi: 10.1684/nrp.2014.02.
[12] Jardri R, Favrod J, Laroi F. Psychothérapies des hallucinations, Edition: Pratiques en psychothérapie, Chapter: 4, Publisher: Elsevier Masson, March 2016 pp. 58-70. https://www.researchgate.net/publication/296639708_Specificites_cliniques_des_hallucinations_du_sujet_age Consulté le 10/11/2018.
[13] Connors MH, Ames D, Woodward M, Brodaty H. Psychosis and Clinical Outcomes in Alzheimer Disease: A Longitudinal Study. Am J Geriatr Psychiatry. 2018; 26 (3): 304-313. doi: 10.1016/j.jagp.2017.10.011.
[14] Dubois B., Beato R., Kalafat M. Avant la démence…, ou les limites du concept de trouble cognitif léger (MCI: mild cognitive impairment). Medecine/sciences; juin-juillet 2002; 18 (n°6-7) p 775-9. Disponible sur http://www.ipubli.inserm.fr/bitstream/handle/10608/5007/MS_2002_6-7_775.pdf. Consulté le 05/11/2018.
[15] Flicker C, Ferris SH, Reisberg B. Mild cognitive impairment in the elderly: predictors of dementia. Neurology. 1991; 41 (7): 1006-1009. doi: 10.1212/wnl.41.7.1006.
[16] Smith GE, Petersen RC, Parisi JE, et al. Definition, course and outcome ofmild cognitive impairment. Ageing NeuropsycholCognition 1996; 3: 141-7.
[17] Miller BL, Ikonte C, Ponton M, et al. A study of the Lund-Manchester research criteria for frontotemporal dementia: clinical and single-photon emission CT correlations. Neurology. 1997; 48 (4): 937-942. doi: 10.1212/wnl.48.4.937.
[18] Wahlund A-O, Agartz I, Sääf J et al. in psychiatry: 731 cases, Psychiatry Research: Neuroimaging, 1992. 45 (2): 139-140. https://doi.org/10.1016/0925-4927(92)90007-Q. (http://www.sciencedirect.com/science/article/pii/092549279290007Q) Consulté le 15/12/.
[19] Berman KF, Weinberger DR. Neuroradiology in psychiatry. Psychiatr Clin North Am. 1984; 7 (3): 487-501.
[20] Stevens T, Livingston G, Kitchen G, Manela M, Walker Z, Katona C. Islington study of dementia subtypes in the community. Br J Psychiatry. 2002; 180: 270-276. doi: 10.1192/bjp.180.3.270.
[21] Chaney J. Dépistage des troubles de la mémoire chez les personnes âgées de plus de 75 ans: valeur de l’intuition clinique des Médecins Généralistes. [Screening for memory impairment in people over 75 years of age: value of the clinical intuition of General Practitioners.] [Thèse Med]. Dijon: UFR sciences de la santé; université de Bourgogne; 2 septembre 2016.
[22] Lassarrette M. Obstacles et difficultés en matière de diagnostic précoce de démence en soins primaires: enquête auprès des médecins généralistes des hautes-pyrénées. [Obstacles and difficulties in the early diagnosis of dementia in primary care: a survey of general practitioners in the hautes-pyrénées.], [Thèse Med]. Toulouse: Faculté de médecine de Purpan; université Toulouse III – Paul Sabatier 13 Septembre 2016.
[23] Aliacar L. Dépistage des troubles cognitifs, modalités et freins en médecine générale: étude de pratiques professionnelles en région Midi-Pyrénées. [Screening for cognitive disorders, modalities and obstacles in general practice: a study of professional practices in the Midi-Pyrénées region.] [Thèse Med]. Toulouse: Université Toulouse III-Paul Sabatier; faculté de médecine; 30 Octobre 2014.
[24] Y. Nadeau, M. D FRCPC et al. La leucoaraïose: le clinicien. [Leukoaraiosis: the clinician] janvier/février 2010, p51-54. http://www.stacommunications.com/journals/leclinicien/2010/01-JanFev 2010/Laleucoaraïose.pdf.
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    Brahim Samuel Traore, Dion Aristide Gonce, Constance Yapo-Ehounoud, Ahou Rita Aka, Yves Stephane Ipou, et al. (2022). Primary Psychiatric Behavioral Disorders Indicative of Neuropathological Processes: A Review of 125 Cases. American Journal of Psychiatry and Neuroscience, 10(1), 20-25. https://doi.org/10.11648/j.ajpn.20221001.14

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    ACS Style

    Brahim Samuel Traore; Dion Aristide Gonce; Constance Yapo-Ehounoud; Ahou Rita Aka; Yves Stephane Ipou, et al. Primary Psychiatric Behavioral Disorders Indicative of Neuropathological Processes: A Review of 125 Cases. Am. J. Psychiatry Neurosci. 2022, 10(1), 20-25. doi: 10.11648/j.ajpn.20221001.14

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    AMA Style

    Brahim Samuel Traore, Dion Aristide Gonce, Constance Yapo-Ehounoud, Ahou Rita Aka, Yves Stephane Ipou, et al. Primary Psychiatric Behavioral Disorders Indicative of Neuropathological Processes: A Review of 125 Cases. Am J Psychiatry Neurosci. 2022;10(1):20-25. doi: 10.11648/j.ajpn.20221001.14

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  • @article{10.11648/j.ajpn.20221001.14,
      author = {Brahim Samuel Traore and Dion Aristide Gonce and Constance Yapo-Ehounoud and Ahou Rita Aka and Yves Stephane Ipou and Lou Gonova Berthe Djehoua and Kouame Leonard Kouassi and Yessonguilana Jean-Marie Yeo-Tenena},
      title = {Primary Psychiatric Behavioral Disorders Indicative of Neuropathological Processes: A Review of 125 Cases},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {10},
      number = {1},
      pages = {20-25},
      doi = {10.11648/j.ajpn.20221001.14},
      url = {https://doi.org/10.11648/j.ajpn.20221001.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20221001.14},
      abstract = {Some manifestations attributed to a primarily psychiatric disorder may result from an identified or unidentified neurological lesion; in other words, psychiatric symptoms are often a common determinant for both neurological pathologies and psychopathological disorders. The objective of this work was to study the radio-clinical profile of psychiatric manifestations attributable to a neurological process. We therefore carried out a retrospective cross-sectional study with a descriptive aim. The survey took place from December 2018 to March 2019 at the Abidjan Addictology and Mental Hygiene Service (SAHM) of the National Institute of Public Health (INSP). The period studied was 08 years (2012-2019). Thus, 47169 patient files were identified over this period (2012 to 2019). A total of 125 patient files meeting the inclusion criteria were selected from an exhaustive sampling. It should be noted that the use of specific biomarkers was not possible in our context. There was a modest female predominance of 52.80%, a mean age of 65 years. Clinical characteristics revealed a history of hypertension (23.2%). Call signs were amnesia (80.5%), incoherent speech (45.5%) and the delirium-hallucination dyad (40.9%). A dementia syndrome was evoked in a proportion of (61.6%); it required neuroimaging. In 96.8% of the cases, the brain scan revealed cortico-subcortical atrophy lesions (66.4%), but MRI could only be performed in (3.2%). Degenerative, vascular or mixed etiologies were evoked in 34.4%, 15.2% and 30.4% respectively. The risk of excessive psychiatry and misdiagnosis of behavioral disorders reveals the interest of a more elaborate neuropsychiatric evaluation and the use of neuroimaging.},
     year = {2022}
    }
    

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Author Information
  • Addiction and Mental Hygiene Service, National Institute of Public Health, Abidjan, Ivory Coast

  • Addiction and Mental Hygiene Service, National Institute of Public Health, Abidjan, Ivory Coast

  • Medical Sciences Training and Research Unit, Félix Houphou?t Boigny University, Abidjan, Ivory Coast

  • Addiction and Mental Hygiene Service, National Institute of Public Health, Abidjan, Ivory Coast

  • Medical Sciences Training and Research Unit, Félix Houphou?t Boigny University, Abidjan, Ivory Coast

  • Addiction and Mental Hygiene Service, National Institute of Public Health, Abidjan, Ivory Coast

  • Neurology Department, University Hospital Center of Yopougon, Abidjan, Ivory Coast

  • Addiction and Mental Hygiene Service, National Institute of Public Health, Abidjan, Ivory Coast

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