Veerman S R T, Sno H N, Ravelli D P, Roos R A C
Psychiatrische Afdeling Zaans Medisch Centrum en is thans werkzaam bij InGeest GGZ.
Tijdschr Psychiatr. 2009;51(4):255-61.
A 66-year-old patient had suffered from late-onset schizophrenia from the age of 44. Her family history included reports of brain haemorrhages, possibly resulting from hereditary amyloidal angiopathy of the Dutch type (Katwijk disease). She was very afraid for having this disease. The progression of the psychiatric symptoms and the age at which they began, led us to suspect an organic process. Differential diagnoses that were discussed included cerebral amyloidal angiopathy, frontal lobe dementia and Huntington's disease.
一位66岁的患者自44岁起患有晚发性精神分裂症。她的家族病史中有脑出血的报告，可能是由荷兰型遗传性淀粉样血管病（卡特韦克病）引起的。她非常担心自己患有这种疾病。精神症状的进展及其开始的年龄让我们怀疑存在器质性病变。讨论的鉴别诊断包括脑淀粉样血管病、额叶痴呆和亨廷顿病。
