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Self-Neglect and Frontal Lobe Dysfunction

Published online by Cambridge University Press:  02 January 2018

Martin W. Orrell*
Affiliation:
Institute of Psychiatry, De Crespigny Park, London SE5 8AF
Barbara J. Sahakian
Affiliation:
Section of Old Age Psychiatry, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
Klaus Bergmann
Affiliation:
Maudsley Hospital, Denmark Hill, London SE5
*
Correspondence

Abstract

An elderly lady, of superior verbal intelligence and with no severe psychiatric condition, severely neglected herself, and required prolonged day patient care. Brain scans showed selective frontal atrophy, and both traditional and new computerised neuropsychological testing demonstrated severe frontal dysfunction.

Type
Case Conference
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Butters, N. (1985) Alcoholic Korsakoff's syndrome: some unresolved issues concerning aetiology, neuropathology and cognitive deficits. Journal of Clinical and Experimental Neuropsychiatry, 7, 181210.Google Scholar
Clarke, A. N. G., Mankikar, G. D. & Gray, I. (1975) Diogenes syndrome: a clinical study of gross self-neglect in old age. Lancet, i, 366368.Google Scholar
Connell, P. H. (1958) Amphetamine Psychosis. Maudsley Monographs No. 5. London: Chapman and Hall.Google Scholar
Cybulska, E. & Rucinski, J. (1986) Gross self-neglect in old age. British Journal of Hospital Medicine, July, 2125.Google Scholar
Englund, E. & Brun, A. (1987) Frontal lobe degeneration of non-Alzheimer type. IV. White matter changes. Archives of Gerontology and Geriatrics, 6, 235244.CrossRefGoogle ScholarPubMed
Gustafson, L. (1987) Frontal lobe degeneration of non-Alzheimer type. II. Clinical picture and differential diagnosis. Archives of Gerontology and Geriatrics, 6, 209224.CrossRefGoogle ScholarPubMed
Lezak, M. D. (1983) Neuropsychological Assessment. Oxford: Oxford University Press.Google Scholar
Lishman, W. A. (1987) Organic Psychiatry. Oxford: Blackwell Scientific Publications.Google Scholar
Macmillan, D. & Shaw, P. (1966) Senile breakdown in standards of personal and environmental cleanliness. British Medical Journal, ii, 10321037.Google Scholar
Milner, B. (1971) Interhemispheric differences in the localisation of psychological processes in man. British Medical Bulletin, 27, 272277.Google Scholar
Morris, R. G., Evenden, J. L., Sahakian, B. J., et al (1987) Computer aided assessment of dementia: comparative studies of neuropsychological deficits in Alzheimer type dementia and Parkinson's disease. In Cognitive Neurochemistry (eds Stahl S. M., Iversen S. D. & Goodman E. C.). Oxford: Oxford University Press.Google Scholar
Morris, R. G., Downes, J. J., Sahakian, B. J., et al (1988) Planning and spatial working memory in Parkinson's disease. Journal of Neurology, Neurosurgery and Psychiatry, 51, 757766.CrossRefGoogle ScholarPubMed
Neary, D., Snowden, J. S., Northern, B., et al (1988) Dementia of frontal lobe type. Journal of Neurology, Neurosurgery and Psychiatry, 51, 353361.Google Scholar
Olton, D. S. (1982) Spatially organised behaviours of animals: behavioural and neurological studies. In Spatial Abilities (ed. Potegal M.). London: Pergamon.Google Scholar
Passingham, R. E. (1985) Memory of monkeys (Macaca Mulata) with lesions in the prefrontal cortex. Behavioural Neurosciences, 99, 321.Google Scholar
Post, F. (1982) Functional disorders I. Description, incidence and recognition. In The Psychiatry of Late Life (ed. Levy R. & Post F.). London: Blackwell Scientific Publications.Google Scholar
Ridley, R. M. & Baker, H. F. (1982) Stereotypy in monkeys and humans. Psychological Medicine, 12, 6172.Google Scholar
Robbins, T. W., Mittleman, G., O'Brien, J., et al (1989) The neuropsychological significance of stereotypy induced by stimulant drugs. In Neurobiology of Stereotyped Behaviour (eds Cooper S. & Dourish C.). Oxford: Oxford University Press. (In press).Google Scholar
Rylander, G. (1971) Stereotype behaviour in man following amphetamine abuse. In The Correlation of Adverse Effects in Man with Observation in Animals (ed. Baker S. B. de C.). Amsterdam: Excerpta Medica.Google Scholar
Shallice, T. (1982) Specific impairments of planning. Philosophical Transactions of the Royal Society of London, B298, 199209.Google Scholar
Whitehead, A. (1985) Diogenes syndrome (letter). Lancet, i, 627628.Google Scholar
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