Abstract

DE LA ESPRIELLA, Ricardo Andrés; HERNANDEZ, José Fernando  and  ESPEJO, Lina María. Cortical Release Signs in Patients with Schizophrenia, Depressive Disorders, and Bipolar Affective Disorder. rev.colomb.psiquiatr. [online]. 2013, vol.42, n.4, pp.311-319. ISSN 0034-7450.

Abstract Background and objectives: Determining the presence of cortical release signs associated with white matter damage, is a clinically easy method to perform. The objective of this study is to determine the presence of cortical release signs in patients with mental illnesses and cerebrovascular disease, as well as its clinical usefulness, given that it indicates cortical damage. Material and methods: A review was made of cortical release signs in patients hospitalized in clinical psychiatry and general hospitals with bipolar affective disorder (40), depression (37), schizophrenia (33), cardiovascular disease (33) and dementia (37). Results: The signs of cortical release do not have the same importance as cortical damage. For example, the glabellar reflex was found in all the groups, that of paratonia, particularly in the group with schizophrenia, and others signs in the group of patients with dementia. Conclusions: It is suggested that these signs imply subcortical white matter damage. The appearance of these signs shows the need for a follow up of patients diagnosed with bipolar affective disorder, depression and schizophrenia.

Keywords : Cortical reflexes; Mental Illness; Vascular dementia.

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