DSM+II+1968

28 MENTAL DISORDERS
brain abscess. Many of these disorders will have been diagnosed as
the acute form early in the course of the illness. If not of psychotic
proportion, the disorder should be classified under Non-psychotic OBS
with intracranial injection. (In DSM-I the acute variety was classified
as "Acute Brain Syndrome associated with intracranial infection"
and the chronic variety as "Chronic Brain Syndrome associated
with intracranial infection other than syphilis.")
293 Psychosis associated with other cerebral condition
This major category, as its name indicates, is for all psychoses associated
with cerebral conditions other than those previously defined. For
example, the degenerative diseases following do not include the previous
senile dementia. If the specific underlying physical condition is known,
indicate it with a separate, additional diagnosis.
293.0 Psychosis with cerebral arteriosclerosis
This is a chronic disorder attributed to cerebral arteriosclerosis. It
may be impossible to differentiate it from senile dementia and prer
senile dementia, which may coexist with it. Careful consideration of
the patient's age, history, and symptoms may help determine th
predominant pathology. Commonly, the organic brain syndrome is
the only mental disturbance present, but other reactions, such as
depression or anxiety, may be superimposed. If not of psychotic proportion,
the condition is classified under Non-psychotic OBS with
circulatory disturbance. (In DSM-I this was called "Chronic Brain
Syndrome associated with cerebral arteriosclerosis.")
293.1 Psychosis with other cerebrovascular disturbance
This category includes such circulatory disturbances as cerebral
thrombosis, cerebral embolism, arterial hypertension, cardio-renal
disease and cardiac disease, particularly in decompensation. It excludes
conditions attributed to arteriosclerosis. The diagnosis is determined
by the underlying organ pathology, which should be specified
with an additional diagnosis. (In DSM-I this category was divided
between "Acute Brain Syndrome associated with circulatory
disturbance" and "Chronic Brain Syndrome associated with circulatory
disturbance other than cerebral arteriosclerosis.")
293.2 Psychosis with epilepsy
This category is to be used only for the condition associated with
"idiopathic" epilepsy. Most of the etiological agents underlying
chronic brain syndromes can and do cause convulsions, particularly