[Effect of puncture perfusion of the subarachnoid space on cerebrospinal fluid composition in brain concussions with submeningeal hemorrhages].
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A 37-year-old female was referred to the Department of Psychiatry at the University of Iowa with visual hallucinations of snakes that began ten months after a brief loss of consciousness in a car accident. She also complained about a persistent headache and depressed mood that began shortly after the accident. Her depressive symptoms did not respond to amitriptyline or ECT. By thoroughly reviewing the clinical features and course of this patient, we conclude that the she did not have a typical, definite psychiatric syndrome explaining her hallucinations. The hallucination of snakes in this case may be a manifestation of post-concussional syndrome.
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The authors have studied the influence of Pervincamine on the postconcussional syndrome in a group of 30 patients with cranial trauma examined for at least six months after their accident. The double blind testing was utilised and the patients were followed at regular intervals spanning three weeks. Each patient was evaluated by semi-directed interviews and tests of "double barrage" of Zazzo and the 15 words test of Rey. In addition, an EEG was performed at the beginning and the end of the study. Statistical analysis of the evolution of symptoms and the results obtained by psychological testing has revealed the positive action of Pervincamine on the postconcussional syndrome and on mental as well as motor functioning in general. Furthermore, the secondary effects of this product are negligible.
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