From Big Medical Encyclopedia

SENESTHOPATHIAS (Greek koinos the general + aisthesis feeling, feeling + pathos suffering, a disease) — various extremely burdensome, painful feelings in various areas of a body and in internals, not having the reasons stated by objective methods of a research.

The term «senesthopathias» is entered into 1907 Mr. of Dyupre (E. Dupre) and P. Camus. They gave the first detailed description of this frustration and allocated it from group sensopatiya (see).

At S. patients complain of feelings of pain, pressure, heat, burning, cold, murmur, breakage, peeling, a turning, pulsations, gaps, raspiraniye, extension, twisting, adhesion, spasms, accretion, tightening, to-rye extend to a body surface, internals (a brain, heart, lungs, intestines, etc.) or to that and another at the same time. Villages have various intensity, sometimes they are extraordinary painful. Pages can be localized and diffusion; uniform and changeable, constant and temporary; certain and vague; ordinary and fancy. Are expressed to S.'s thicket unusual, strange burdensome and is much more rare pain. Telling about S., patients quite often accompany the speech with an expressive mimicry and the movements, use unusual comparisons for the description of the feelings felt by them.

Pages can be one of components hypochiondrial syndrome (see) or to exhaust a picture of a disease, i.e. to be shown in the form of a monosymptom. At this S. are not followed by any interpretations, in particular crazy (see. Nonsense ). Much more often S. are combined with other psikhopatol. frustration — depressions, various on structure (see. Depressive syndromes ), depersonalization (see), nonsense of paranoiac, paranoid or paraphrenic structure, mental avtomatizm (see. Kandinsky — Klerambo a syndrome ) a Cotard delusion (see. Kotara syndrome ), psychoorganic syndrome (see). In these cases of S. can be initial frustration or complicate existing psikhopatol. states. Most often and in the most various manifestations of S. meet at schizophrenia (see). They arise also at neurosises (see), maniac-depressive psychosis (see), organic lesions of c, various on genesis. N of page (traumatic, vascular, syphilitic, etc.).

Diagnosis the wedge, pictures is based on features. The page should be distinguished from paresthesias (see), to-rye usually are followed nevrol. symptoms or are manifestation of a somatopathy, napr, a hypovitaminosis. Besides, they should be differentiated with tactile and visceral hallucinations (see), patol. feelings at to-rykh always predmetna. So, the patient with tactile hallucinations, feeling a burning sensation and crawlings on skin, claims that they are caused by living beings, tells about their size, a form, outward and even states the assumption or confidence in the one whom they are (ants, fleas, etc.). In some cases differential diagnosis of S. with visceral and tactile hallucinations is difficult or impossible.

Etiology and pathogeny are unknown. It is noted that at the schizophrenia and maniac-depressive psychosis accompanied with S. in the anamnesis there are instructions on chronically proceeding inf. diseases, napr, rheumatism. The page often meets at advanced age as at endogenous (schizophrenia, maniac-depressive psychosis), and at pathopsyhosis (see).

Apply to treatment antidepressants (see) and neuroleptics (see). Theralenum possesses selective impact on S. which are shown in the form of a monosymptom or arising at rather simple depressions, to-ry it is especially shown to patients of advanced age.

Forecast is defined by a basic disease. Page in the form of a monosymptom or entering into structure of others psikhopatol. states, first of all nonsense, often differ in firmness and will badly respond to treatment.

Bibliography: Zhislin S. G. A role of an age and somatogenic factor in emergence and a te.cheniya of some forms of psychoses, page 130, M., 1956; To e r and - to about in O. V. and d river. Psychiatry, page 30, M., 1968; R about t sh t e y G. A N. Hypochiondrial schizophrenia, M., 1961; In and - ruk H. Traite de psychiatric, t. i, p. 188, P., 1959; Dupre E. Pathologic de l’imagination et de l’emotivite, P., 1925; Dupre E. e t Camus P. Les cenes-thopathies, Encephale, t. 2, p. 616, 1907.

H. G. Shumskin.