Primary Polydipsia
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Primary Polydipsia
Primary polydipsia and psychogenic polydipsia are forms of polydipsia characterised by excessive fluid intake in the absence of physiological stimuli to drink. Psychogenic polydipsia which is caused by psychiatric disorders, often schizophrenia, is often accompanied by the sensation of dry mouth. Some forms of polydipsia are explicitly non-psychogenic. Primary polydipsia is a diagnosis of exclusion. Signs and symptoms Signs and symptoms of psychogenic polydipsia include: * Excessive thirst and xerostomia, leading to overconsumption of water * Hyponatraemia, causing headache, muscular weakness, twitching, confusion, vomiting, irritability etc., although this is only seen in 20–30% of cases. * Hypervolemia, leading to oedema, hypertension and weight gain (due to the kidneys being unable to filter the excess blood) in extreme episodes * Tonic-clonic seizure * Behavioural changes, including fluid-seeking behaviour; patients have been known to seek fluids from any available source, ...
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Psychiatry
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psychiatric assessment of a person typically begins with a case history and mental status examination. Physical examinations and psychological tests may be conducted. On occasion, neuroimaging or other neurophysiological techniques are used. Mental disorders are often diagnosed in accordance with clinical concepts listed in diagnostic manuals such as the ''International Classification of Diseases'' (ICD), edited and used by the World Health Organization (WHO) and the widely used '' Diagnostic and Statistical Manual of Mental Disorders'' (DSM), published by the American Psychiatric Association (APA). The fifth edition of the DSM (DSM-5) was published in May 2013 which re-organized the larger categories of various diseases and expanded upon the p ...
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Mood Disorder
A mood disorder, also known as an affective disorder, is any of a group of conditions of mental and behavioral disorder where a disturbance in the person's mood is the main underlying feature. The classification is in the ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM) and International Classification of Diseases (ICD). Mood disorders fall into seven groups, including; abnormally elevated mood, such as mania or hypomania; depressed mood, of which the best-known and most researched is major depressive disorder (MDD) (alternatively known as clinical depression, unipolar depression, or major depression); and moods which cycle between mania and depression, known as bipolar disorder (BD) (formerly known as manic depression). There are several sub-types of depressive disorders or psychiatric syndromes featuring less severe symptoms such as dysthymic disorder (similar to MDD, but longer lasting and more persistent, though often milder) and cyclothymic disorder (simila ...
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Diabetes Insipidus
Diabetes insipidus (DI), recently renamed to Arginine Vasopressin Deficiency (AVP-D) and Arginine Vasopressin Resistance (AVP-R), is a condition characterized by large amounts of dilute urine and increased thirst. The amount of urine produced can be nearly 20 liters per day. Reduction of fluid has little effect on the concentration of the urine. Complications may include dehydration or seizures. There are four types of DI, each with a different set of causes. Central DI (CDI) is due to a lack of the hormone vasopressin (antidiuretic hormone). This can be due to injury to the hypothalamus or pituitary gland or genetics. Nephrogenic DI (NDI) occurs when the kidneys do not respond properly to vasopressin. Dipsogenic DI is a result of excessive fluid intake due to damage to the hypothalamic thirst mechanism. It occurs more often in those with certain psychiatric disorders or on certain medications. Gestational DI occurs only during pregnancy. Diagnosis is often based on urine ...
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Lingual Gyrus
The lingual gyrus, also known as the ''medial'' occipitotemporal gyrus, is a brain structure that is linked to processing vision, especially related to letters. It is thought to also play a role in analysis of logical conditions (i.e., logical order of events) and encoding visual memories. It is named after its shape, which is somewhat similar to a tongue. Contrary to the name, the region has little to do with speech. It is believed that a hypermetabolism of the lingual gyrus is associated with visual snow. Location The lingual gyrus of the occipital lobe lies between the calcarine sulcus and the posterior part of the collateral sulcus; behind, it reaches the occipital pole; in front, it is continued on to the tentorial surface of the temporal lobe, and joins the parahippocampal gyrus. Function Role in vision This region is believed to play an important role in vision and dreaming. Visual memory dysfunction and visuo-limbic disconnection have been shown in cases where the lingu ...
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Inferior Frontal Gyrus
The inferior frontal gyrus (IFG), (gyrus frontalis inferior), is the lowest positioned gyrus of the frontal gyri, of the frontal lobe, and is part of the prefrontal cortex. Its superior border is the inferior frontal sulcus (which divides it from the middle frontal gyrus), its inferior border is the lateral sulcus (which divides it from the superior temporal gyrus) and its posterior border is the inferior precentral sulcus. Above it is the middle frontal gyrus, behind it is the precentral gyrus. The inferior frontal gyrus contains Broca's area, which is involved in language processing and speech production. Structure The inferior frontal gyrus is highly convoluted and has three cytoarchitecturally diverse regions. The three subdivisions are an opercular part, a triangular part, and an orbital part. These divisions are marked by two rami arising from the lateral sulcus. The ascending ramus separates the opercular and triangular parts. The anterior (horizontal) ramus separates ...
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Medial Frontal Gyrus
The superior frontal gyrus is situated above the superior frontal sulcus and is continued on to the medial surface of the hemisphere, the medial frontal gyrus. The medial and superior frontal gyri are two of the frontal gyri of the frontal lobe The frontal lobe is the largest of the four major lobes of the brain in mammals, and is located at the front of each cerebral hemisphere (in front of the parietal lobe and the temporal lobe). It is parted from the parietal lobe by a groove betwe .... The portion on the lateral surface of the hemisphere is usually more or less completely subdivided into an upper and a lower part by an antero-posterior sulcus, the paramedial sulcus, which, however, is frequently interrupted by bridging gyri. There is some evidence that it plays a role in executive mechanisms. References Gyri Frontal lobe {{neuroanatomy-stub ...
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Cuneus
The cuneus (; plural cunei) is a smaller lobe in the occipital lobe of the brain. The cuneus is bounded anteriorly by the parieto-occipital sulcus and inferiorly by the calcarine sulcus. Function The cuneus (Brodmann area 17) receives visual information from the same-sided superior quadrantic retina (corresponding to contralateral inferior visual field). It is most known for its involvement in basic visual processing. Pyramidal cells in the visual cortex (or striate cortex) of the cuneus, project to extrastriate cortices (BA 18,19). The mid-level visual processing that occurs in the extrastriate projection fields of the cuneus are modulated by extraretinal effects, like attention, working memory, and reward expectation. Clinical research In addition to its traditional role as a site for basic visual processing, gray matter volume in the cuneus is associated with better inhibitory control in bipolar depression patients. Pathologic gamblers have higher activity in the dorsa ...
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Superior Temporal Gyrus
The superior temporal gyrus (STG) is one of three (sometimes two) gyri in the temporal lobe of the human brain, which is located laterally to the head, situated somewhat above the external ear. The superior temporal gyrus is bounded by: * the lateral sulcus above; * the superior temporal sulcus (not always present or visible) below; * an imaginary line drawn from the preoccipital notch to the lateral sulcus posteriorly. The superior temporal gyrus contains several important structures of the brain, including: * Brodmann areas 41 and 42, marking the location of the auditory cortex, the cortical region responsible for the sensation of sound; * Wernicke's area, Brodmann 22p, an important region for the processing of speech so that it can be understood as language. The superior temporal gyrus contains the auditory cortex, which is responsible for processing sounds. Specific sound frequencies map precisely onto the auditory cortex. This auditory (or tonotopic) map is similar to the ...
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Parahippocampal Gyrus
The parahippocampal gyrus (or hippocampal gyrus') is a grey matter cortical region of the brain that surrounds the hippocampus and is part of the limbic system. The region plays an important role in memory encoding and retrieval. It has been involved in some cases of hippocampal sclerosis. Asymmetry has been observed in schizophrenia. Structure The anterior part of the gyrus includes the perirhinal and entorhinal cortices. The term parahippocampal cortex is used to refer to an area that encompasses both the posterior parahippocampal gyrus and the medial portion of the fusiform gyrus. Function Scene recognition The parahippocampal place area (PPA) is a sub-region of the parahippocampal cortex that lies medially in the inferior temporo-occipital cortex. PPA plays an important role in the encoding and recognition of environmental scenes (rather than faces). fMRI studies indicate that this region of the brain becomes highly active when human subjects view topographical scene sti ...
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Inferior Temporal Gyrus
The inferior temporal gyrus is one of three gyri of the temporal lobe and is located below the middle temporal gyrus, connected behind with the inferior occipital gyrus; it also extends around the infero-lateral border on to the inferior surface of the temporal lobe, where it is limited by the inferior Sulcus (neuroanatomy), sulcus. This region is one of the higher levels of the ventral stream of visual processing, associated with the representation of objects, places, faces, and colors. It may also be involved in face perception, and in the recognition of numbers and words. The inferior temporal gyrus is the anterior region of the temporal lobe located underneath the central temporal sulcus. The primary function of the occipital temporal gyrus – otherwise referenced as IT cortex – is associated with visual stimuli processing, namely visual object recognition, and has been suggested by recent experimental results as the final location of the ventral cortical visual system. The ...
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Posterior Lobe Of Cerebellum
The posterior lobe of cerebellum or neocerebellum, is the portion of the cerebellum below the primary fissure. The posterior lobe is much larger than anterior lobe. The anterior lobe is separated from the posterior lobe by the primary fissure, and the posterolateral fissure separates flocculonodular lobe from the posterior lobe. Sometimes, the posterior lobe of cerebellum is called the neocerebellum since phylogenetically it is the newest part of the cerebellum. It plays an important role in fine motor coordination, specifically in the inhibition of involuntary movement via inhibitory neurotransmitters, especially GABA. The posterior lobe receives input mainly from the brainstem (i.e., reticular formation and inferior olivary nucleus The inferior olivary nucleus (ION), is a structure found in the medulla oblongata underneath the superior olivary nucleus.Gado, Thomas A. Woolsey; Joseph Hanaway; Mokhtar H. (2003). The brain atlas a visual guide to the human central nervous syste ...
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Executive Functions
In cognitive science and neuropsychology, executive functions (collectively referred to as executive function and cognitive control) are a set of cognitive processes that are necessary for the cognitive control of behavior: selecting and successfully monitoring behaviors that facilitate the attainment of chosen goals. Executive functions include basic cognitive processes such as attentional control, cognitive inhibition, inhibitory control, working memory, and cognitive flexibility. Higher-order executive functions require the simultaneous use of multiple basic executive functions and include planning and fluid intelligence (e.g., reasoning and problem-solving). Executive functions gradually develop and change across the lifespan of an individual and can be improved at any time over the course of a person's life. Similarly, these cognitive processes can be adversely affected by a variety of events which affect an individual. Both neuropsychological tests (e.g., the Stroop test ...
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