TY - JOUR
T1 - Orbitofrontal syndrome after a cerebral aneurysm operation. A case report
AU - Frías Ibáñez, Álvaro
AU - Malea Fernández, A.
AU - Dorado García, M.
AU - Mongay Sánchez-Gijón, H.
PY - 2008/11
Y1 - 2008/11
N2 - Introduction. Orbitofrontal syndrome is an organic mental disorder characterized by cognitive, affective and behavioral alterations, triggered by the suppression of the inhibiting cerebral mechanisms. Clinical case. A 19 year-old woman developed a a «change of personality» in the context of an aneurysm operation in the middle cerebral artery, with serious behavioral alterations during one year. After the drug treatment was established, there was significant reduction in the intensity of the psychopathology. Furthermore, the utility of psychotherapy in the improvement of the familiar management was affirmed. Conclusions. Orbitofrontal syndrome implies damage to any of the structures and connections included in the orbitofrontal system. The psychopathological overlapping with some psychiatric disorders opens the possibility of greater understanding of the biological bases of the mental disease. Because of the deficit in the metacognitive capacity and high dependency on environmental stimuli, it seems that behavioral techniques such as psychotherapy would be the treatments of choice for this type of patient.
AB - Introduction. Orbitofrontal syndrome is an organic mental disorder characterized by cognitive, affective and behavioral alterations, triggered by the suppression of the inhibiting cerebral mechanisms. Clinical case. A 19 year-old woman developed a a «change of personality» in the context of an aneurysm operation in the middle cerebral artery, with serious behavioral alterations during one year. After the drug treatment was established, there was significant reduction in the intensity of the psychopathology. Furthermore, the utility of psychotherapy in the improvement of the familiar management was affirmed. Conclusions. Orbitofrontal syndrome implies damage to any of the structures and connections included in the orbitofrontal system. The psychopathological overlapping with some psychiatric disorders opens the possibility of greater understanding of the biological bases of the mental disease. Because of the deficit in the metacognitive capacity and high dependency on environmental stimuli, it seems that behavioral techniques such as psychotherapy would be the treatments of choice for this type of patient.
KW - Cerebral aneurysm
KW - Change of personality
KW - Hipersexuality
KW - Middle cerebral artery
KW - Orbitofrontal syndrome
UR - http://www.scopus.com/inward/record.url?scp=57349123720&partnerID=8YFLogxK
M3 - Article
C2 - 18523894
AN - SCOPUS:57349123720
SN - 1139-9287
VL - 36
SP - 362
EP - 365
JO - Actas Espanolas de Psiquiatria
JF - Actas Espanolas de Psiquiatria
IS - 6
ER -