University of Manchester, Jesson House (R.M.C.H.), 78 Manchester Road, Swinton, Manchester M27 1FG, U.K.
Behav Neurol. 1989;2(1):49-68. doi: 10.3233/BEN-1989-2105.
Psychiatry and neurology are well-established as separate disciplines and they may view an issue of mutual concern, such as affective disorder in people with epilepsy, from such different premises that the important synthesis of behavioural neurology, or neuropsychiatry, will be made ineffective. Nosological problems stemming from the use of diagnostic manuals are discussed and revealed in case reports. Reports of affective disorder in persons with brain disorders are relatively rare, possibly as a consequence of nosological problems which stem from a maintenance of a tradition of "functional" disorder. New cases of bipolar disorder and organic mania are given with commentary on the preponderant lateralization of cerebral dysfunction to the right cerebral hemisphere in manic cases.
精神病学和神经病学已被确立为两个独立的学科，它们可能会从截然不同的前提出发来看待彼此关注的问题，例如癫痫患者的情感障碍，从而使行为神经学或神经精神病学的重要综合失去效果。从使用诊断手册中产生的分类问题在病例报告中进行了讨论和揭示。在脑疾病患者中报告的情感障碍相对较少，可能是由于分类问题所致，这些问题源于“功能性”障碍传统的维持。本文介绍了一些新的双相情感障碍和器质性躁狂病例，并对躁狂病例中大脑功能障碍偏侧化到右半球的优势进行了评论。
