巨大前颅窝脑膜瘤所致的安东综合征。精神科护理中常规使用先进诊断成像的问题。

Anton's syndrome due to a giant anterior fossa meningioma. The problem of routine use of advanced diagnostic imaging in psychiatric care.

作者信息

Wessling H, Simosono C L, Escosa-Bagé M, de Las Heras-Echeverría P

机构信息

Unit of Neurosurgery, Joan XXIII University Hospital, Tarragona, Spain.

出版信息

Acta Neurochir (Wien). 2006 Jun;148(6):673-5; discussion 675. doi: 10.1007/s00701-006-0767-8. Epub 2006 Apr 7.

DOI:10.1007/s00701-006-0767-8

PMID:16598409

Abstract

We present a case of blindness and Anton's syndrome in a psychiatric patient with late diagnosis of a giant frontal meningioma. The criteria for advanced diagnostic imaging in the psychiatric population are discussed. We conclude that MR or CT scan is indicated in psychiatric in-patients who fail to improve with standard psychiatric treatment. This strategy should be submitted to a cost-benefit analysis.

摘要

我们报告一例患有巨大额叶脑膜瘤且诊断较晚的精神病患者出现失明及安通综合征的病例。讨论了针对精神科人群的高级诊断成像标准。我们得出结论，对于接受标准精神科治疗后病情未改善的精神科住院患者，应进行磁共振成像（MR）或计算机断层扫描（CT）。该策略应进行成本效益分析。