Department of Psychiatry, School of Medicine, University of Occupational and Environmental Health, Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka 8078555, Japan.
Gen Hosp Psychiatry. 2013 Jan-Feb;35(1):103.e7-9. doi: 10.1016/j.genhosppsych.2012.05.002. Epub 2012 Jun 14.
Various types of cognitive and behavioral impairments occur after traumatic brain injury. We present a case exhibiting psychotic symptoms such as irritability, dysphoria, anxiety and insomnia with severe brain dysfunction due to a right temporal lobe contusion incurred in a traffic accident. The patient did not sufficiently respond to rehabilitation or treatment with any pharmacotherapy. In the present case, aripiprazole dramatically improved the patient's symptoms and cognitive function. We evaluated the case using the Wechsler Adult Intelligence Scale-Revised and the Wechsler Memory Scale Revised between baseline and 5 years later.
颅脑损伤后可出现各种认知和行为障碍。我们报告 1 例因交通事故导致右侧颞叶脑挫裂伤、严重脑功能障碍的患者,出现激惹、烦躁不安、焦虑和失眠等精神病性症状。该患者对康复治疗和各种药物治疗反应不佳。本例患者使用阿立哌唑治疗后,症状和认知功能明显改善。我们在基线时和 5 年后分别使用韦氏成人智力量表修订版和韦氏记忆量表修订版对该病例进行了评估。