与偏头痛相关的神游症。
Fugue associated with migraine.
作者信息
Porter G, Shaw T, Ryan C J
机构信息
Department of Psychiatry, Westmead Hospital, Sydney, New South Wales, Australia.
出版信息
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.07.2008.0576. Epub 2009 Jan 23.
Fugue states are characterised by a complete loss of memory for all personal details. Although often witnessed on stage and screen, real-life fugue states are rare. They are often psychogenic and rarely organic in origin. Here a case of fugue in a patient with migraines is reported. It is possible that cerebral vasoconstriction in this case caused the memory impairment; this is supported by cerebral hypo-perfusion demonstrated on SPECT scanning. The patient's fugue resolved after treatment for migraine.
神游症的特点是对所有个人细节完全失忆。尽管在舞台和银幕上经常出现，但现实生活中的神游症很罕见。它们通常是心因性的，很少源于器质性病变。本文报告了一例偏头痛患者出现神游症的病例。在该病例中，脑血管收缩可能导致了记忆障碍；单光子发射计算机断层扫描（SPECT）显示的脑灌注不足支持了这一点。偏头痛治疗后，患者的神游症得到缓解。
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