Neurosurgical disease encountered in a psychiatric service

Cerebral Malignancy in Psychiatry: EEG Aspects

“…According to some authors extracerebral meningiomas prevail among patients exhibiting psychic symptoms [Patton and Sheppard, 1956;Avery, 1971;Rieke, 1975;van Oudenaarden, 1978], It is argued that the slow rate of progression inherent to this type of tumor may be responsible for the prevalence of psychic symptoms. Other authors mention a preponderance in numbers of gliomas -and of glioblastoma multiforme in particular -among tumor patients admitted to a psychiatric ward [Guvener et al, 1964;Selecki, 1965;Abraham et al, 1972;Williams et al, 1974;Chodkiewicz et al, 1980]. The intracerebral growth, surrounding edema, and fast rate of progression might be responsible for prominent and/or early psychic dysfunction.…”

“…The percentage ranges from 0.2 to 13% [ Williams et al, 1974], Even the most commonly referred to figure of 2-3% is still impressive, since this would imply that the reason for consulting a psychiatrist is an underlying cerebral space-occupy ing lesion in 2-3 patients out of 100. Postmortem findings also reveal that in 50-60% of the cases the diagnosis was missed intra vitam, although a sure connection could be established between the reason for admission to the psychiatric ward and the cause of death [Se/ccki, 1965;Andcrsson, 1970], Even in this era of advanced technological diagnostics, we feel that this is still a matter of clinical interest and concern.…”

Amygdaloid Neurosurgery for Aggressive Behaviour, Sydney, 1967–1977: Chronological Narrative

“…27 In addition to psychosurgery, the unit provided a neurological and neurosurgical service to NSW psychiatric facilities, and resources for psychiatric research, both human and animal. 28 …”

“…This Unit, which cost a million pounds, opened in 1958 and was reportedly the envy of neurosurgeons at Sydney's teaching hospitals 27 . In addition to psychosurgery, the unit provided a neurological and neurosurgical service to NSW psychiatric facilities, and resources for psychiatric research, both human and animal 28 . Psychosurgery was performed at the CSRU in 1960 (S Alchin, personal communication, 2005).…”

“…27 In addition to psychosurgery, the unit provided a neurological and neurosurgical service to NSW psychiatric facilities, and resources for psychiatric research, both human and animal. 28 Psychosurgery was performed at the CSRU in 1960 (S Alchin, personal communication, 2005). However, in 1961 allegations concerning clinical and financial management of Callan Park, unrelated to psychosurgery, led to a Royal Commission.…”