Dr Butler-Manuel is a proctor for Intuitive Surgical. ... Walker JL, Piedmonte MR, Spirtos NM, et al. ... We thank Drs Madhuri and Butler-Manuel for their letter,.
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We have read the article in which Tani et al. describe ... Inclusion of the WAIS-R Vocabulary subtest or the New ... tion, the Hospital Anxiety and Depression.
Aug 6, 2010 - Receive free email alerts when new articles cite this article. Sign up in the. Notes ... a first coder (MK) and reviewed by a second coder. (MS).
e-mail: [email protected]; [email protected]. Received in 24/05/2012. Accepted in 20/06/2012. Coinfection dengue and melioidosis infection.
overseas. Of the 12 who underwent subspecialty training programmes, none ... as UK, Australia and Canada. ... South African doctors to Australia since 1948.
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2003;74(7):897-900. 4. Amorim P. Mini International Neuropsychiatric Interview (MINI): vali- dação de entrevista breve para diagnóstico de transtornos mentais.
Rev Bras Psiquiatr. 2004;26(4):276-8
Letters to the editors
Unexplained clinical-neurological symptoms may indicate depressive syndromes Dear Editor, A high incidence of psychiatric disorders is ordinarily seen in neurological patients, especially somatoform, phobic, and d e p r e s s i v e d i s o r d e r s . 1 C a r s o n e t a l 2-3 h a v e r e c e n t l y demonstrated that nearly one third of patients referred to neurological outpatient services showed clinical symptoms unexplained in organic terms. These patients presented with anxiety and depressive syndromes in a significantly higher degree (70%) than subjects with neurological symptoms secondary to their organic condition (32%). During the first half of the year 2001, we have seen 54 patients (male/female: 16/38, mean age ± standard deviation: 36.4 ± 2.1 years) referred to the neurological outpatient setting of the Clinical Hospital of the UFMG by physicians of assistance units from the outskirts of the city of Belo Horizonte of the referral system of the National Health System (Sistema Único de Saúde). The clinical assessment included a semi-structured interview with questions from the Mini International Neuropsychiatric Inventory4 to identify depressive syndromes according to the DSM-IV and to categorize the organicity of their symptoms.2 Ten patients (18.5%) were considered as having unexplained clinical symptoms in pathophysiological terms (Table). There were no statistically significant differences in terms of age and gender between the group of patients with unexplained symptoms and the other patients. The presence of diffuse pain was the most common clinical problem among patients with unexplained symptoms, being reported in 8 cases. Specific pain syndromes were observed in 19 out of the 44 other patients, especially under the form of migraine. Epilepsy was
the second most frequent diagnosis among these patients (13 cases). Depressive syndromes were more frequently diagnosed in the group of patients with unexplained symptoms (5/10, compared to 7/44 in the group of the other patients, p
