Department of Psychiatry, School of Medicine, University of Michigan, Ann Arbor, MI, USA.
Psychosomatics. 2010 Mar-Apr;51(2):171-5. doi: 10.1176/appi.psy.51.2.171.
Pathology of the cerebellum has traditionally been associated with motor symptoms, vertigo, and nystagmus. Patients with cerebellar disorders do not usually receive psychiatric evaluations.
The authors seek to alert clinicians to the association between cerebellar disease and psychiatric symptoms.
The authors describe a patient with uncommon psychiatric morbidity associated with cerebellar dysfunction, and provide a brief review of previous research on this phenomenon.
Neurology consultants suggested that physical exam findings and behavioral changes could be accounted for by cerebellar cognitive affective syndrome. This syndrome involves dysfunction of the cerebellum, including classic cerebellar findings, in addition to cognitive difficulties and affective/personality changes.
The suspected etiology was post-infectious cerebellitis from Epstein-Barr virus infection.
小脑的病理学传统上与运动症状、眩晕和眼球震颤有关。小脑疾病患者通常不会接受精神科评估。
作者旨在提醒临床医生注意小脑疾病与精神症状之间的关联。
作者描述了一例与小脑功能障碍相关的罕见精神疾病患者，并简要回顾了先前关于这一现象的研究。
神经病学顾问认为，体格检查结果和行为改变可以用小脑认知情感综合征来解释。这种综合征涉及小脑功能障碍，包括经典的小脑发现，以及认知困难和情感/人格变化。
疑似病因是 EBV 感染引起的感染后小脑炎。
