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Yıl:2012; Cilt: 2; Sayı: 1>> Özet
Psikiyatride Güncel; 2012;2(1):1-15
Nörolojik hastalıklarda psikiyatrik tanı ve tedavi ilkeleri
S Oflaz, IB Kulaksızoğlu
İstanbul Üniversitesi, İstanbul Tıp Fakültesi Psikiyatri Anabilim Dalı
Nörolojik hastalıklar, kişinin beden ve zihin fonksiyonlarını etkileyerek ciddi yetiyitimine neden olurlar. Nörolojik hastalıklara kognitif bozukluklar,
duygudurum bozuklukları, psikozlar, cinsel işlev bozuklukları ve kişilik değişiklikleri gibi çok çeşitli psikiyatrik bozukluklar eşlik
edebilir. Nörolojik hastalıkları olanlarda, psikiyatrik bozuklukları değerlendirirken, nörolojik hastalığın santral sinir sistemini tutan lezyonunun
özellikleri yanısıra, hastanın psikososyal faktörleri ve nörolojik tedavide kullanılan ilaçların psikiyatrik yan etkileri dikkate alınmalıdır.
Nörolojik hastalığı olan bireylerin psikiyatrik bozukluklarının tedavisi için nöroloji ve psikiyatri uzmanlarının multidisipliner yaklaşımlarına,
iyi bir işbirliğine ve hastanın yaşam kalitesini ön planda tutan bir ekip çalışmasına ihtiyaç vardır. Bu yazıda nörolojik hastalıklardan
inme, multiple skleroz, epilepsi ve parkinson hastalıklarının belirtileri psikiyatrik açıdan ayrıntılı olarak gözden geçirilmiş, psikiyatrik
tanı ve tedavi ilkeleri güncellenmeye çalışılmıştır.
Psychiatric diagnosis and treatment principles in neurological diseases
Neurological diseases cause severe disability by affecting physical and mental functions of patients. Several psychiatric disorders including
cognitive disorders, affective disorders, psychoses, sexual dysfunction and personality changes are usually associated with neurological
diseases. During assessment of psychiatric disorders in patients with neurological diseases, lesion properties of neurological disease in
central nervous system, psychosocial factors of the person and psychiatric adverse effects of neurological drugs should be considered. The
multidisciplinary approach of psychiatrists and neurologists is required to manage the psychiatric disorders of patients with neurological
diseases, a good collaboration and teamwork that care about patient’s quality of life. In this paper, we review the psychiatric aspects of the
symptoms of certain neurological diseases including stroke, multiple sclerosis, epilepsy and Parkinson’s disease and we update the principles
of diagnosis and treatment of psychiatric disorders of patients with neurological diseases.

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