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Tuesday, October 7, 2008

Organic Brain Syndrome

Brain
Definition

Organic brain syndrome (OBS) is a general term, referring to physical disorders (usually not psychiatric disorders) that cause decreased mental function.


Alternative Names

OBS; Organic mental disorder (OMS); Chronic organic brain syndrome


Causes, incidence, and risk factors

OBS is a common diagnosis in the elderly. It is not an inevitable part of aging, however. OBS is not a separate disease, but is a general term used to categorize physical conditions that can cause mental changes.

Disorders associated with OBS include, but are not limited to:

  • Degenerative disorders:
    • Creutzfeldt-Jacob disease
    • Huntington disease
    • Multiple sclerosis
    • Normal pressure hydrocephalus
    • Pick disease
    • Senile dementia, Alzheimer type
    • Parkinson's disease
    • Diffuse Lewy Body disease
  • Cardiovascular disorders :
    • Arrhythmias -- may cause some types of OBS
    • Cardiac infections (endocarditis, myocarditis, etc.) -- may sometimes cause OBS
    • Hypertensive (related to high blood pressure) brain injury
    • Multi-infarct dementia (multiple strokes)
    • Stroke
    • TIA
  • Trauma-induced brain injury:
    • Chronic subdural hematoma (blood clot causing pressure on brain)
    • Concussion
    • Intracerebral hemorrhage
    • Subarachnoid hemorrhage
  • Dementia due to metabolic causes
  • Respiratory conditions -- may cause or aggravate OBS
    • Hypoxia (decreased oxygen in the body)
    • Hypercapnia (increased carbon dioxide levels in the body)
  • Infections
    • Any acute or chronic infection
    • Septicemia (presence in the bloodstream of toxic by-products caused by infection)
    • Meningitis
    • Encephalitis
  • Drug and alcohol related conditions
    • Intoxication, drug abuse, or alcohol use
    • Long-term effects of alcohol, Wernicke-Korsakoff syndrome
    • Alcohol withdrawal state
    • Withdrawal from drugs (especially sedative-hypnotics and corticosteroids)
  • Other medical disorders
    • Thyroid disease (high or low)
    • Vitamin deficiency (B12 and others)
    • Liver disease
    • Kidney disease
    • Cancer
depression

Review Date: 09/07/2006
Reviewed By: Kenneth Gross, M.D., Neurology, North Miami, FL. Review provided by VeriMed Healthcare Network.

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