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[儿童和青少年早期脑损伤后的精神障碍——四例报告]

[Psychiatric disorders after early brain damage in children and adolescents - four case reports].

作者信息

Günther Thomas, Hagenah Ullrich, Herpertz-Dahlmann Beate, Konrad Kerstin

机构信息

Lehr- und Forschungsgebiet für klinische Neuropsychologie des Kindes- und Jugendalters, Klinik für Kinder- und Jugendpsychiatrie, Universitätsklinikum der RWTH Aachen.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2008 Nov;36(6):427-35. doi: 10.1024/1422-4917.36.6.427.

DOI:10.1024/1422-4917.36.6.427
PMID:19034858
Abstract

Neuropsychological assessment is an important diagnostic tool that can provide additional information for diagnosing mental disorders during childhood and adolescence. While in the past, the challenge of a neuropsychological assessment was to detect whether or not the child had suffered brain damage, this aim changed with the development of better, non-invasive brain-imaging techniques. On the basis of four single cases it is demonstrated that brain damage causes not only direct, but also indirect deficits. In particular, the indirect consequences of early brain lesions, such as behavioral disorders and persistent neuropsychological deficits, are very often reasons to seek clinical treatment. The characteristics of children and adolescents with organic mental disorders with regard to diagnosis and intervention will be exemplified and discussed within the following four case studies.

摘要

神经心理学评估是一种重要的诊断工具,可为诊断儿童和青少年时期的精神障碍提供额外信息。过去,神经心理学评估的挑战在于检测儿童是否遭受脑损伤,但随着更好的非侵入性脑成像技术的发展,这一目标发生了变化。基于四个单病例研究表明,脑损伤不仅会导致直接缺陷,还会导致间接缺陷。特别是,早期脑损伤的间接后果,如行为障碍和持续性神经心理学缺陷,常常是寻求临床治疗的原因。在以下四个案例研究中将举例说明并讨论患有器质性精神障碍的儿童和青少年在诊断和干预方面的特征。

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