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[精神障碍及其与脑损伤部位的关系:诊断问题]

[Mental disorders and their relation to brain lesion location: diagnostic problems].

作者信息

Gudiene Devika, Burba Benjaminas

机构信息

Clinic of Psychiatry, Kaunas University of Medicine Hospital, Eiveniu 2, Lithuania.

出版信息

Medicina (Kaunas). 2003;39(2):114-21.

Abstract

Knowledge of symptoms of appropriate brain areas lesion helps to differ psychiatric and neurological disorders. The objective of our work was to find out the situation in scientific research about mental disorder relation to brain lesion location and to except the location of lesions, which are most complicated in differential diagnosis. We discussed the relation of most important mental disorders to brain lesion location. The study of discrete organic cerebral lesions resulting in clearly definable psychiatric disorders may provide an understanding of the underlying pathophysiological basis of these disorders. Different nervous functions need the integrational work of various brain areas. The regions differ from each other by the importance of playing part in corresponding functions. The differential problems appear because various structural brain lesions provide symptoms, similar to mental disorder symptoms. The development of mental disorders and lesion location questions are very urgent. While analyzing the location of lesion, it is important to motivate the theories of development of schizophrenia, organic depression, emotional lability and other disorders.

摘要

了解大脑特定区域病变的症状有助于区分精神疾病和神经疾病。我们这项工作的目的是弄清楚关于精神障碍与脑损伤位置关系的科研现状,并排除在鉴别诊断中最复杂的病变位置。我们讨论了最重要的精神障碍与脑损伤位置的关系。对导致明确可定义精神障碍的离散性器质性脑损伤的研究,可能有助于理解这些障碍潜在的病理生理基础。不同的神经功能需要大脑各个区域的整合作用。这些区域在相应功能中所起作用的重要性各不相同。由于各种结构性脑损伤会产生与精神障碍症状相似的症状,所以出现了鉴别问题。精神障碍的发展和病变位置问题非常紧迫。在分析病变位置时,激发对精神分裂症、器质性抑郁症、情绪不稳定及其他障碍发展理论的探讨很重要。

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