[Psychotic syndromes in patients with organic brain damage in the light of clinical analysis].

In the Department of Psychiatry, Medical Academy in Gdańsk, 2797 psychotic patients were hospitalized in the years from 1976 to 1986. In addition to the diagnosis of psychosis in 207 cases (7.4%) the organic brain damage was diagnosed: 114 women and 93 men. 157 patients (75.8%) were aged 50-60 years. Following factors underwent the analysis: psychopathology, diagnostic categories of organic brain damage, dependency between psychosis and organic damage, the causes of damage, and the diagnostic procedures leading to the diagnosis. Depression was diagnosed in 57.6% of patients. Psychoses with qualitative disturbances of consciousness were second frequent diagnostic category. Schizophrenia, schizophreniform syndromes and mania were less frequently diagnosed. The diagnostic categories of organic brain damage were: organic background, organic brain damage, dementia, encephalopathy, character disorders , oligophrenia, frontal lobe syndrome, organic defect. The organic brain syndrome was diagnosed primarily on the basis of psychopathology. The analysis do not allow the univocal interpretation of the importance of organic brain changes in psychotic patients.