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[Ideational apraxia in confusional psychosis]
D R Rojas1, M Outes, J C Goldar
1Hospital Braulio A. Moyano, Buenos Aires, Argentina.
Acta Psiquiatrica Y Psicologica De America Latina
|September 1, 1991
Summary
Pick's ideational apraxia, often seen as permanent neurological damage, can also manifest transiently in psychiatric conditions like confusional psychosis, suggesting reversible brain alterations.
Area of Science:
- Neuroscience
- Psychiatry
Background:
- Pick's ideational apraxia is traditionally linked to permanent left hemisphere brain lesions.
- Its presence is often considered solely within the neurologist's diagnostic scope.
Observation:
- Ideational apraxia can transiently appear with misidentifications and spatial disorientation.
- These symptoms are characteristic of confusional psychosis.
Findings:
- Reversible alterations in posterior brain mechanisms may underlie confusional psychosis.
- Ideational apraxia can be a symptom in cycloid psychotic states, including confusional psychosis.
Implications:
- Pick's ideational apraxia should be considered within psychiatric evaluations.
- This expands the diagnostic relevance of ideational apraxia to psychiatry.