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Organic prepartum and postpartum psychoses : ウィキペディア英語版 | Organic prepartum and postpartum psychoses
There are many distinct forms of psychosis which start during pregnancy (prepartum) or after delivery (postpartum). In Europe and North America, only one – acute postpartum bipolar or polymorphic psychosis (postpartum psychosis)– is commonly seen. But, in times past, about one quarter of psychoses after childbirth were 'organic'.〔Brockington I F (2006) Eileithyia’s Mischief: the Organic Psychoses of Pregnancy, Parturition and the Puerperium. Bredenbury, Eyry Press, pages 323-325.〕 This means that a severe mental disturbance, usually in the form of delirium, develops as a complication of a somatic illness.〔Lishman W A (1997) Organic Psychiatry, 3rd edition. Oxford, Blackwell.〕 The organic psychoses of childbearing will now be summarized, starting with two seen during pregnancy, followed by at least ten that begin after delivery. Those that occur during delivery itself will be described under a separate Wikipedia entry on the psychiatric disorders of childbirth. ==Chorea psychosis== Sydenham's chorea has a number of psychiatric complications - character change, depression, Tourette's syndrome,〔Sandras C M S, Bourgignon H (1860) Traité Pratique des Maladies Nerveuses. Paris, Germer-Baillière, pages 397-411.〕 hypnogogic hallucinations,〔Marcé L V (1860) L'État mental dans la chorée. Mémoirés de l’Académie de Médecine 24: 30-38.〕 defect states and acute psychosis.〔Breton A (1893) État mental dans la chorée. Thèse, Paris, no. 124.〕 Chorea gravidarum is a severe variant, and most patients have one form or another of these mental changes. In the past, this form of chorea has been due to streptococcal infections, which are now usually controlled by antibiotics. But it still occurs as a result of systemic lupus or anti-phospholipid syndromes. Nevertheless, chorea psychoses are very rare, with only about 50 prepartum cases reported in the literature. Occasionally they can break out after delivery, or after a termination of pregnancy.〔Brockington I F (2006) Eileithyia’s Mischief: the Organic Psychoses of Pregnancy, Parturition and the Puerperium. Bredenbury, Eyry Press, pages 1-23.〕
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