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误诊为双相情感障碍,实为创伤后应激障碍合并假性脑瘤:一例报告

Misdiagnosed Bipolar Disorder Reveals Itself to be Posttraumatic Stress Disorder with Comorbid Pseudotumor Cerebri: A Case Report.

作者信息

Salzbrenner Stephen, Conaway Eileen

机构信息

Dr. Salzbrenner is USN at Naval Medical Center Portsmouth.

出版信息

Psychiatry (Edgmont). 2009 Aug;6(8):29-32.

Abstract

We present the case of a patient with a reported history of bipolar II and borderline personality disorders who presented to our inpatient psychiatry department following a suicidal gesture. We determined that she was not suffering from bipolar disorder at all, and we diagnosed her with posttraumatic stress disorder and pseudotumor cerebri. This paper describes the overlap of symptoms of bipolar disorder and posttraumatic stress disorder, which may lead to an incorrect diagnosis. Additionally, the patient had the complicating factor of comorbid pseudotumor cerebri, which we feel contributed to her psychiatric symptoms. Once the patient was properly diagnosed and placed on appropriate treatment, she responded well.

摘要

我们报告了一例有双相II型障碍和边缘型人格障碍病史的患者,该患者在有自杀企图后入住我们的住院精神科。我们确定她根本没有患双相情感障碍,并诊断她患有创伤后应激障碍和假性脑瘤。本文描述了双相情感障碍和创伤后应激障碍症状的重叠,这可能导致错误诊断。此外,该患者还有合并假性脑瘤这一复杂因素,我们认为这加剧了她的精神症状。一旦患者得到正确诊断并接受适当治疗,她反应良好。

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