Pathological remarks

Introduction The pathological circumstantiality of thinking activity is stagnant, and there are too many associations. To do unnecessary and exhaustive and exhaustive descriptions, it is impossible for him to talk a little bit, and he must finish it in his original way. Found in epilepsy, brain organic and senile mental disorders.

Cause

Mainly seen in patients with epilepsy and other organic brain damage, can also be seen in schizophrenia. The pathogenesis of pathological paradox is due to changes in the brain function of patients, mostly because the patient's thinking activity is too slow or stagnant, twists and turns, too many associations, unnecessary unnecessary and exhaustive descriptions, can not make him speak A little more, you must finish it in his original way. This usually occurs in patients with epilepsy, brain organic disease, and senile mental disorders.

an examination

Related inspection

Brain CT examination of brain MRI

The thinking is twisted and twisted, the association is too many, and the speed is slow. Speaking when answering questions, sticking to unimportant details, dragging the water. And too much exhaustive description of the same thing, can not make him speak a little bit, must be finished in his original way. It is found that there is a pathological tendency to describe the EEG and other tests to understand whether the brain activity is normal.

Differential diagnosis

(1) Thinking and running: It shows that the amount of thinking activity increases and the speed changes rapidly.

(2) Slow thinking: This is an inhibitory barrier to thinking.

(3) Poor thinking: These symptoms are similar in appearance and slow in thinking, but they are fundamentally different. Its main features are: emptiness of ideas, lack of concepts and vocabulary, often no clear response to general inquiry, or simply answering do not understand or nothing, and usually do not take the initiative to speak. The patient feels that his brain is empty, there is nothing to think about, and there is nothing to say. But the patient is indifferent to it. More common in schizophrenia or brain organic dementia.

(4) Broken thinking: When the patient has a clear consciousness, the process of thinking association is broken, and there is no coherence and logic in the inner sense.

(5) Sloppy thinking: The patient's thinking activities can be expressed as loose association and loose content. The narrative of the problem is not pertinent, not very relevant, lacks certain logical relationship, giving people a feeling of difficulty in conversation, and their speech. The theme and meaning are also not easy to understand. This is an early symptom of schizophrenia.

(6) Interruption of thinking: In the case of unconsciousness and no obvious external interference, the thinking process is suddenly interrupted for a short period of time, or the speech suddenly stops. This interruption occurs when the patient is involuntary. More common in schizophrenia.

(7) Inconsistent thinking: On the surface, it is similar to the breakdown of thinking, but it is produced in the case of serious disturbance of consciousness.

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