Mitsuhata Y, Tsukagoshi H
Department of Neurology, Teikyo University, Ichihara Hospital.
Rinsho Shinkeigaku. 1992 Nov;32(11):1256-60.
A 62-year-old female presented peduncular hallucinosis accompanied with outstanding manifestation of delusion of jealousy and erotic delusion in the acute phase of cerebellar infarction. The delusion seemed to appear as the swollen cerebellum was compressing the tegmentum of brainstem. CT scanning revealed the sequential images of the compression by the swollen cerebellum and deformity of the brainstem and their final recovery. The reason why the patient showed the outstanding delusion that is unusual in the ordinary peduncular hallucinosis is unclear. It might be brought about by the acute hydrocephalus induced by the occlusion of aqueduct.
一名62岁女性在小脑梗死急性期出现脑桥幻觉,并伴有明显的嫉妒妄想和色情妄想。妄想似乎是由于肿胀的小脑压迫脑干被盖部而出现的。CT扫描显示了肿胀的小脑压迫及脑干变形的连续图像,以及它们最终的恢复情况。患者出现普通脑桥幻觉中不常见的明显妄想的原因尚不清楚。这可能是由导水管阻塞引起的急性脑积水所致。