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Revista mexicana de neurociencia

versión On-line ISSN 2604-6180versión impresa ISSN 1665-5044

Rev. mex. neurocienc. vol.24 no.5 Ciudad de México sep./oct. 2023  Epub 25-Sep-2023

https://doi.org/10.24875/rmn.m23000096 

Editorial

It is essential for neurologists to know about psychiatry, in the same way, it is essential for psychiatrists to know about neurology

Es esencial para los neurólogos conocer sobre psiquiatría, de la misma manera que es esencial para los psiquiatras conocer sobre neurología

Ramiro Ruiz-Garcia1  2 

1Department of Education

2Department of Neuropsychiatry. National Institue of Neurology and Neurosurgery, Mexico City, Mexico


Neurology and Psychiatry are close subdivisions of medicine. Both share several features as these disciplines study diseases of the nervous system. There are several examples in the historical context of relations between these disciplines such as the description of Alzheimer's Disease by Alois Alzheimer, a neurologist and psychiatrist, and the psychopathological descriptions of Jean-Martin Charcot the famous neurologist from Salpêtrière. However, at some point in the history these disciplines were dissected giving a powerful value to psychological and social interactions for psychiatry and only biological aspects for neurology. This approach is not convenient and is limited for both disciplines, as practically all neurological diseases courses with emotional and behavioral symptoms, and psychiatric disorders are basically a combination of social, psychological, and biological factors.

More recently, facilitated by the discovery of specific drugs developed for the treatment of mental disorders, as well as the technological innovations of novel biomarkers such as structural and functional brain imaging; the pathophysiological comprehension of mental disorders has been growing, creating a re-emergence on the relevance of biological factors in psychiatry. An example is the growing research of the neurobiology of schizophrenia utilizing brain MRI spectroscopy, where detection in the imbalance of the Glutamate system has rethought basic neurobiological aspects of the disease1, creating interesting hypothesis on the creation of novel drugs with alternate (non-direct dopaminergic) actions. On the other hand, and lately, fMRI studies on functional neurological disorder (FND) have demonstrated neurobiological associated factors2, changing the overview of the old-fashioned way of approach of this disease, previously named ‘conversion disorder', understood in the past as mainly explained by stressful events. The last version of the Diagnostic and Statistical Manual of Mental Disorders excludes the prior symptom of ‘related to psychological and stressful events' in the core clinical criteria and the name has changed from ‘conversion disorder' to FND. Furthermore, in the last years more neurologists specially those related to movement disorders and epilepsy areas are increasing their interest in research and treatment of FND, and current recommendations suggest a mixed approach by neurologists and a psychiatrists3. Lastly just to mention another example of Neurology and Psychiatry overlap, it has been described that depression and epilepsy have a bidirectional relationship. This means that depression in people without epilepsy increases the risk of developing epilepsy in the future. On the other hand, people with epilepsy (PWE) have an increased risk of developing depression compared to healthy population. Furthermore, the use of antidepressants in PWE has been associated with a better control of seizure frequency4.

With this background the Editorial team includes in this issue different articles approaching psychiatric and neurological diseases. García-Galicia et. al. described the cognitive features in a pediatric sample of patients with attention deficit hyperactivity disorder, finding deficits in working memory and processing speed. González-Orozco et. al., described the latest incidence of depression and suicide in Mexico. Hernández-Cortes et.al., exhibited different tables of percentiles of the third ventricle volume according to age and sex which are associated with brain aging, and finally Cacho-Díaz et.al., described the headache features associated with brain metastases.

References

1. Nakahara T, Tsugawa S, Noda Y, Ueno F, Honda S, Kinjo M, et al. Glutamatergic and GABAergic metabolite levels in schizophrenia-spectrum disorders:a meta-analysis of 1H-magnetic resonance spectroscopy studies. Mol Psychiatry. 2022 Jan;27(1):744-57. [ Links ]

2. Perez DL, Nicholson TR, Asadi-Pooya AA, Bègue I, Butler M, Carson AJ, et al. Neuroimaging in Functional Neurological Disorder:State of the Field and Research Agenda. Neuroimage Clin. 2021 Mar 11;30:102623. [ Links ]

3. Gilmour GS, Nielsen G, Teodoro T, Yogarajah M, Coebergh JA, Dilley MD, et al. Management of functional neurological disorder. J Neurol. 2020;267(7):2164-72. [ Links ]

4. Paredes-Aragón E, Ruiz-Garcia R, Burneo JG. Depresión en pacientes con epilepsia. Conceptos fisiopatológicos, clínicos y estrategias terapéuticas. Rev Neurol. 2023 Feb 16;76(4):137-46. [ Links ]

FundingThe author declares that there was no funding for this work.

Ethical disclosures

Protection of human and animal subjects. The authors declare that no experiments were performed on humans or animals for this study.

Confidentiality of data. The authors declare that no patient data appear in this article.

Right to privacy and informed consent. The authors declare that no patient data appear in this article.

Use of artificial intelligence for generating text. The authors declare that they have not used any type of generative artificial intelligence for the writing of this manuscript, nor for the creation of images, graphics, tables, or their corresponding captions.

Received: August 08, 2023; Accepted: August 11, 2023

Correspondence: Ramiro Ruiz-Garcia E-mail: ramiro.ruiz@innn.edu.mx

Conflicts of interest

The author declare that they have no conflicts of interest.

Creative Commons License Instituto Nacional de Cardiología Ignacio Chávez. Published by Permanyer. This is an open ccess article under the CC BY-NC-ND license