一名妄想性障碍患者出现的极其怪诞的躯体妄想及其对利培酮治疗的反应。

Extremely grotesque somatic delusions in a patient of delusional disorder and its response to risperidone treatment.

作者信息

Akahane Takaki, Hayashi Hiroshi, Suzuki Haruyoshi, Kawakatsu Shinobu, Otani Koichi

机构信息

Department of Psychiatry, Yamagata University School of Medicine, Yamagata, Japan.

出版信息

Gen Hosp Psychiatry. 2009 Mar-Apr;31(2):185-6. doi: 10.1016/j.genhosppsych.2008.07.004. Epub 2008 Sep 2.

DOI:10.1016/j.genhosppsych.2008.07.004

PMID:19269542

Abstract

A 54-year-old man with delusional disorder, somatic type (DDST) showed extremely grotesque somatic delusions, i.e., the presence of another lower jaw with teeth and tongue accompanied by annoying sensations. These somatic delusions responded favorably to treatment with risperidone 2-3 mg/day. The single photon emission computed tomography taken when he had marked somatic delusions showed hypoperfusion in the temporal and parietal lobes. The present report suggests that delusion of reduplication of body parts, which has been generally associated with organic brain diseases, is also observed in DDST. This report also supports prior observations on the efficacy of risperidone for DDST and the association between this disorder and hypoperfusion in the temporal and parietal lobes.

摘要

一名患有躯体型妄想障碍（DDST）的54岁男性表现出极其怪诞的躯体妄想，即存在另一个长有牙齿和舌头的下颌，并伴有烦人的感觉。这些躯体妄想对每天2 - 3毫克利培酮的治疗反应良好。在他有明显躯体妄想时进行的单光子发射计算机断层扫描显示颞叶和顶叶灌注不足。本报告表明，通常与器质性脑疾病相关的身体部位重复妄想，在躯体型妄想障碍中也有观察到。本报告还支持了先前关于利培酮对躯体型妄想障碍疗效以及该障碍与颞叶和顶叶灌注不足之间关联的观察结果。