Nishida Masaki, Nariai Tadashi, Hiura Mikio, Ishii Kenji, Nishikawa Toru
Section of Psychiatry and Behavioral Science, Tokyo Medical and Dental University Graduate School, Bunkyo, Japan.
BMJ Case Rep. 2011 Dec 1;2011:bcr0920114845. doi: 10.1136/bcr.09.2011.4845.
The authors herein report the case of a young male with memory deficits due to a traumatic head injury, who presented with sleep-related symptoms such as hypersomnia and dream alterations. Although MRI and polysomnography showed no abnormalities, (18)F-fluorodeoxyglucose positron emission tomography (FDG-PET) and (11)C flumazenil (FMZ)-PET revealed findings consistent with cerebral damage to the affected temporal region. The memory deficit of the patient gradually improved in parallel with the relief of the sleep-related symptoms. FDG-PET showed considerable improvement in glucose metabolism when he had recovered, however, evidence of neural loss remained in the FMZ-PET findings.
本文作者报告了一例因创伤性脑损伤导致记忆缺陷的年轻男性病例,该患者出现了与睡眠相关的症状,如嗜睡和梦境改变。尽管磁共振成像(MRI)和多导睡眠图检查未发现异常,但氟代脱氧葡萄糖正电子发射断层扫描(FDG-PET)和碳-11氟马西尼(FMZ)-PET显示出与患侧颞叶脑损伤相符的结果。患者的记忆缺陷随着与睡眠相关症状的缓解而逐渐改善。当他康复时,FDG-PET显示葡萄糖代谢有显著改善,然而,FMZ-PET检查结果仍显示存在神经损失的迹象。