Neuropathological and neuroradiological correlates of paranoid symptoms in organic mental disease

Alistair Burns, Hans Forstl

Research output: Contribution to journalShort surveypeer-review

4 Scopus citations

Abstract

This paper reviews paranoid symptoms in older patients with organic mental disease. We have taken a dual approach to this topic, examining patients with dementia in whom paranoid symptoms are present and also assessing the presence of organic brain changes in patients diagnosed as having late-onset schizophrenia, paraphrenia or delusional disorder. (For the sake of continuity and not wishing to pre-empt any discussion of the nosological categorisation of late-onset psychoses, we refer to late-onset persecutory state as paraphrenia.) Firstly, there is a description of the various paranoid symptoms which have been described in patients with dementia. Secondly, brain imaging studies are discussed which have highlighted changes in patients with paraphrenia and particular associations between psychotic phenomenology and brain changes in patients with dementia. Thirdly, neuropathological and neurochemical changes in the brains of patients with dementia in whom paranoid symptoms have been present are presented. We intersperse all three sections with data from work carried out by the authors at the Institute of Psychiatry in London from 1986 and 1992. For other reviews, see Alien and Burns (1995), Burns and Forstl(1996), Eisiri (1996) and Howard (1996).

Original languageEnglish
Pages (from-to)190-194
Number of pages5
JournalEuropean Archives of Psychiatry and Clinical Neuroscience
Volume247
Issue number4
DOIs
StatePublished - Aug 1997
Externally publishedYes

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