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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neuropsychiatric symptom assessments in toxic exposure
Lisa H Mason1, Melissa J Mathews, Dong Y Han
1Neuropsychology Section, Department of Neurology, University of Kentucky, 740 South Limestone Street, Suite L445, Lexington, KY 40536-0284, USA.
Abstract:
The goal of this review is to provide guidelines for evaluating psychiatric and mood changes that result from neurotoxicity. Mood changes that are often seen to varying degrees in neurotoxicity include increased anxiety, depression, irritability, impulsiveness, and psychosis. Some common agents that induce neurotoxicity include drugs, heavy metals, and organophosphates with presentations varying somewhat depending upon the mechanism of toxicity. The authors discuss in detail psychiatric assessment for patients with suspected of having neurotoxicologic syndrome.
Insights
This review offers guidelines for assessing mood changes from neurotoxicity, such as anxiety and depression. It details psychiatric evaluations for suspected neurotoxicologic syndromes caused by agents like heavy metals.
Area of Science:
- Neuroscience
- Psychiatry
- Toxicology
Background:
- Neurotoxicity can manifest with significant psychiatric and mood disturbances.
- Common neurotoxic agents include drugs, heavy metals, and organophosphates.
- Observed mood changes span anxiety, depression, irritability, impulsivity, and psychosis.
Purpose of the Study:
- To establish guidelines for evaluating psychiatric and mood changes linked to neurotoxicity.
- To aid clinicians in diagnosing neurotoxicologic syndromes.
Main Methods:
- Review of literature on neurotoxicity and psychiatric manifestations.
- Detailed discussion of psychiatric assessment protocols for suspected cases.
Main Results:
- Neurotoxicity presents with a spectrum of mood alterations.
- The mechanism of toxicity influences the specific presentation.
- Comprehensive psychiatric assessment is crucial for diagnosis.
Conclusions:
- Effective evaluation requires understanding the link between neurotoxic agents and psychiatric symptoms.
- Standardized assessment guidelines can improve diagnosis and management of neurotoxicologic syndromes.
Related Concept Videos
Toxidromes: Clinical Features
Toxic Reactions: Overview
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
Toxicity Testing in Animals
Drug Toxicity: Dose-Dependent Reactions
Pharmaceutical Poisoning: Potential Scenarios
Drug Toxicity: Overview

