MENTAL DISTRUBANCES FOLLOWED BY STUPOR IN A PATIENT WITH CARCINOIDOSIS: Recovery with Tryptophan treatment

@article{Lehmann1966MENTALDF,
  title={MENTAL DISTRUBANCES FOLLOWED BY STUPOR IN A PATIENT WITH CARCINOIDOSIS: Recovery with Tryptophan treatment},
  author={J{\o}rgen Erik Lehmann},
  journal={Acta Psychiatrica Scandinavica},
  year={1966},
  volume={42}
}
  • J. Lehmann
  • Published 1 June 1966
  • Medicine, Psychology
  • Acta Psychiatrica Scandinavica
This report deals with a case of carcinoidosis in which the patient displayed severe mental disturbances. With therapy consisting of a high dose of tryptophan administered intravenously and by stomach tube together with a serotonin inhibitor the patient recovered and assumed a fairly normal mental state within 24 hours. Temporary relapses, presumably due to a decreased supply of tryptophan, could be corrected by further doses of the substance, and normal mental behaviour could then be… 

Tryptophan in the treatment of carcinoid crisis

Tryptophan may have a supportive role in the management of carcinoid crisis and its level of consciousness improved and blood tryptophan increased to 10 μg/ml after treatment with 3.4 g tryPTophan daily.

Catatonia: the Tension Insanity

  • John Johnson
  • Psychology, Medicine
    British Journal of Psychiatry
  • 1993
Catatonia is now best considered as a neuropsychiatric syndrome due to a wide variety of organic disease processes, manifest in catelepsy in a setting of an abnormal mental state, most commonly an affective disorder.

Tryptophan malabsorption in levodopa-treated parkinsonian patients. Effect of tryptophan on mental disturbances.

  • J. Lehmann
  • Medicine, Biology
    Acta medica Scandinavica
  • 1973
Mental disturbances were observed in cases with extremely low serum Try values and were presumed to be correlated with an insufficient synthesis of 5-hydroxytryptamine (5-HT) in the brain secondary to a decreased influx of Try.

A rare complication of carcinoÏd carcinoma

The normal metabolism of tryptophan, one of the essential amino acids, was discussed and the changes of this metabolism due to the metastasis of the carcinoid carcinoma and its psychiatric complications based on a central tryptophile deficiency were examined.

Catatonia: the rise and fall of an intriguing psychopathological dimension

The significance of catatonic symptoms is not recognized in the current taxonomies despite the fact that this has major pharmacological treatment implications.

INITIAL MENTAL DISORDERS IN CARCINOMA OF PANCREAS AND STOMACH

There are several casuistic reports of early mental disorders in carcinoma of the pancreas (c.p.) usually in the form of depression, anxiety and insomnia, and there is usually a fairly high percentage of cases with initial mental disturbance without or coiicurrent with somatic symptoms such as pain and loss of weight.

Organic causes of mania.

Use of the somatostatin analogue octreotide acetate in the treatment of encephalopathy associated with carcinoid tumor. Case report.

A patient having metastatic carcinoid tumor who developed encephalopathy of uncertain etiology is described, and treatment with the somatostatin analogue octreotide acetate resulted in dramatic improvement in his mental status.

Delirium, clouding of consciousness and confusion.

Current interest in cognition should extend to delirium in which disorganization of cognitive processes is the chief feature, and dissatisfaction with the current classification of the so-called organic brain syndromes is justified.

References

SHOWING 1-10 OF 36 REFERENCES

A PITFALL IN THE DIAGNOSIS OF MYASTHENIA GRAVIS

  • R. Antebi
  • Medicine, Psychology
    Acta psychiatrica Scandinavica
  • 1963
It is noteworthy that most of the classical textbooks of Medicine, Neurology or Psychiatry mention in the appropriate chapters, the common symptomatology of Myasthenia Gravis and Conversion Hysteria.

Attitudes of psychiatrists to the use of hypnosis.

To ascertain the use of hypnosis in psychiatric treatment a questionnaire was sent to 828 psychiatrists in California. Nearly half (46%) of the 429 who responded had had experience with hypnosis, but

Effects of Amino Acid Feedings in Schizophrenic Patients Treated with Iproniazid

Large oral doses of individual amino acids were given three or four times daily for periods of 1 week to schizophrenic patients, some of whom were maintained on iproniazid. Marked alterations in

Hypnosis in psychotherapy today. Anachronism, fixation, regression, or valid modality?

It seems to me that in order to understand the current role of hypnosis in psychotherapy, it will be essential to adopt the genetic, in this instance historic, point of view.

Tryptophan Metabolism in Affective Psychoses

Recent researches in the affective psychoses did not reveal significant differences between patients and normal controls in the urinary output of 5-hydroxyindoleacetic acid (5-HIAA) before or after an oral 5-Hydroxytryptophan load.

Hypnosis without hypnosis.

  • A. Kuhner
  • Psychology
    The International journal of clinical and experimental hypnosis
  • 1962
Case illustrations support the viewpoint that the proper relationship is akin to the hypnotic one and enhances the therapeutic prognun without hypnosis failures and a comprehemive approach to counteract the BhortCOmings mentioned manipulates the inter-pemd relationship factor.

Reciprocal inhibition as the main basis of psychotherapeutic effects.

  • J. Wolpe
  • Psychology
    A.M.A. archives of neurology and psychiatry
  • 1954
Evidence is presented in support of the view that neurotic behavior is persistent unadaptive learned behavior in which anxiety is almost always prominent and which is acquired in anxiety-generating situations.

The significance of hypnotic depth in therapy.

  • A. Weitzenhoffer
  • Psychology
    The International journal of clinical and experimental hypnosis
  • 1962
There is evidence, however, that dimensions other than suggestibility probably determine hypnotic behavior, hence the effectiveness of hypnotherapeutic intervention and the hypnotist's ability to recognize, accept, and utilize what the patient offers.

Hypnosis and the psychotherapeutic process.

Effects of 5-hydroxytryptophan on schizophrenia.

The hypothesis was tested that excess of brain 5-hydroxytryptamine (5HT), as produced by the injection of5HTP, leads to a reduction of psychotic test effects in schizophrenics.