F07 personality and behavior disorders due to diseases, injuries or dysfunctions

Personality and behavior alteration may be due to disease, an injury or cerebral dysfunction can be in a residual concomitant nature with a disease or cerebral damage. In some cases the specific characteristics of the manifestations of these personality disorders and the residual or concomitant behavior can suggest the type or location of the brain condition.

Content

• F07.0 Organic personality disorder
• Diagnosis guidelines
• F07.1 post -stellic syndrome
• Diagnosis guidelines
• F07.2 post -consciousness syndrome
• Diagnosis guidelines
• F07.8 Other personality and behavior disorders due to diseases, injuries or brain dysfunctions
• F07.9 Personality and behavior disorder due to disease, injury or cerebral dysfunction without specification
• F09 Organic or symptomatic mental disorder without specification

F07.0 Organic personality disorder

Disorder is characterized by a significant alteration of the usual forms of premorbid behavior. These alterations affect the expression of emotions, needs and impulses in a particular way. Cognitive processes can be affected especially or even exclusively in the area of ​​planning of the activity itself and in the forecast of probable social and personal consequences, as in the so -called frontal lobe syndrome. However, it is known that this syndrome is presented not only in frontal lobe lesions, but also in injuries from other circumscribed areas of the brain.

Diagnosis guidelines

Clear background or other evidence of disease, injury or cerebral dysfunction, in the presence of two or more of the following features:

1. Persistently reduced capacity to maintain an activity oriented to an end, specifically those that require long periods of time or mediated bonuses.
2. Emotional alterations, characterized by emotional lability, superficial and unjustified sympathy (euphoria, inappropriate expressions of joy) and rapid changes towards irritability or sudden manifestations of anger and aggressiveness. In some cases the predominant feature may be apathy.
3. Expression of needs and impulses that tend to occur without taking into account their consequences or social discomfort (the patient can carry out antisocial acts such as robberies, inappropriate sexual behaviors, eating voraciously or not showing concern about their personal hygiene and hygiene and hygiene).
4. Cognitive disorders, in the form of suspicion or paranoid ideas or excessive concern for a unique topic, usually abstract (for example, religion, "good and evil"), or both at the same time at the same time.
5. Marked alteration in the rhythm and flow of language, with features such as circumstantiality, "overy", stickiness and hypergraph.
6. Alteration of sexual behavior (decreased sexuality or change of the object of sexual preference).

Includes:
Frontal lobe syndrome.
Limbic epilepsy personality disorder.
Postiobotomy syndrome.
Organic Pseudopsychopathic Personality.
Organic Pseudorretrasada Personality.
Postieucotomy state.

Excludes:
Persistent personality transformation after catastrophic experience (F62.0).
Persistent personality transformation after psychiatric disease (F62.1).
Post -consciousness syndrome (F07.2).
Postcemphalitic Syndrome (F07.1).
Personality disorders (F60.-).

F07.1 post -stellic syndrome

Residual behavior changes that occur after the recovery of viral or bacterial encephalitis. The symptoms are not specific and vary from one to another individuals, according to the infectious agent and, above all, with the age of the patient at the time of infection. The main difference between this disorder and the rest of organic personality disorders is that it is often reversible.

Diagnosis guidelines

General discomfort, apathy or irritability, a certain deficit of cognitive functions (learning difficulties), alteration of sleep and intake habits, changes in sexual behavior and decreased the ability to judge. There can be very diverse residual neurological dysfunctions such as paralysis, deafness, aphasia, constructive or acalculia apraxia.

Excludes:
Organic personality disorder (F07.0).

F07.2 post -consciousness syndrome

This syndrome is normally presented after a cranial trauma, usually serious enough to produce a loss of consciousness. It includes a large number of symptoms such as headaches, dizziness (in which the characteristic features of vertigo usually lack), tiredness, irritability, difficulties of concentration and the ability to carry out intellectual tasks, deterioration of memory, memory, insomnia and tolerance reduced to stressful situations, emotional excitations and alcohol.

Symptoms can be accompanied by a depressive or anxious mood, giving rise to a certain loss of self -estimation and a fear of permanent brain injury. These feelings reinforce primary symptoms and thus start a vicious circle. Some patients become hypochondriacos and embark on the constant search for diagnoses and treatments, and some may adopt the permanent role of sick.

Diagnosis guidelines

Presence of at least three of the aforementioned features. An evaluation should be done through complementary explorations (electroencephalography, potentials evoked from the brain trunk, neurorradiological techniques, ochulonistagmography, etc.), since they can be used to objectify the symptoms, although in most cases these results are negative. Complaints are not necessarily due to compensation reasons.

Includes:
Post -consciousness syndrome (encephalopathy).
Non-psychotic post-traumatic brain syndrome.

F07.8 Other personality and behavior disorders due to diseases, injuries or brain dysfunctions

Diseases, injuries or brain dysfunctions can produce very different cognitive, emotional, personality and behavior disorders and not all of them are classifiable in the previous sections.

Some people with disorders in the right cerebral hemisphere have changes in the ability to express or understand emotions. Although, in a superficial way, the patient might seem depressed, a depressive state of mood is usually not present, but what happens is that the expression of emotions is reduced.

This code must also be used for:

1. Specific syndromes of personality or behavior alterations allegedly due to diseases, lesions or cerebral dysfunctions of F07.0-F07.2.
2. Those states with medium -grade cognitive disorders that have not sufficient intensity to be considered as dementia in progressive mental disorders such as Alzheimer's disease, Parkinson's disease, etc. The diagnosis should be changed if at any given time the dementia guidelines were satisfied.

Excludes:
Delirium (F05.-).

F07.9 Personality and behavior disorder due to disease, injury or cerebral dysfunction without specification

Includes:
Organic psychondrome.

F09 Organic or symptomatic mental disorder without specification

Includes:
Organic psychosis without specification.
Symptomatic psychosis without specification.

Excludes:
Psychosis without specification (F29).
Psychosis of uncertain origin (F29).