0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
THE PROBLEM OF BRAIN TUMOR IN PSYCHIATRIC DIAGNOSIS
HOWARD D. MCINTYRE; AURELIA P. MCINTYRE
Am J Psychiatry 1942;98:720-726.
text A A A
PDF of the full text article.
Abstract

Brain tumor is found at necropsy in from 3.5 per cent, 6.7 per cent to 13.5 per cent in state hospital material.Brain tumor may occur in a patient with a major psychosis in which instance it is not necessarily the cause of psychotic symptoms but will undoubtedly aggravate them. Here the problem of the psychiatrist is to recognize the symptoms of a progressive neurologic disorder running concomitant with the symptoms of the major psychosis. An illustrative case is presented.Far more important are those cases of brain tumor in which the tumor is the cause of the presenting mental symptoms. Meningiomas arising from the olfactory groove are the most important from a psychiatric standpoint because they are benign and operable. If Foster Kennedy's syndrome is well understood and evaluated these tumors can be recognized much earlier and more frequently than they now are.The brain tumor problem in psychiatry is almost as important as is the problem of syphilis, and it furnishes one of several good reasons for not making too great a separation between neurology and psychiatry.Such diagnoses as Alzheimer's disease, Pick's disease, arteriosclerotic dementia, encephalitis, and Parkinson's disease should be regarded with a high degree of suspicion until tumor has been ruled out. The burden of proof certainly rests on the psychiatric diagnostician. We as psychiatrists should become more "brain tumor conscious" and air injection should be employed more frequently than it is employed in psychiatric clinics. When it is remembered that the meningioma, a benign operable tumor is the most common tumor producing mental symptoms there is all the more reason for improving our diagnostic skill in recognizing tumor as a cause of mental symptoms.Illustrative cases are presented together with necropsy, operative and encephalographic studies in patients in whom one or more examiners failed to recognize tumor as the cause of the psychotic symptoms.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Articles
Books
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 62.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 62.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 28.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 28.  >
DSM-5™ Clinical Cases > Chapter 5.  >
Topic Collections
Psychiatric News
PubMed Articles