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右侧桥小脑角病变 1 例:精神症状及磁共振成像表现。

A case of right cerebellopontine-angle lesion: psychotic symptoms and magnetic resonance imaging findings.

机构信息

Department of Psychiatry, Pusan National University Hospital, Busan, Republic of Korea. ; Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.

出版信息

Psychiatry Investig. 2012 Sep;9(3):307-9. doi: 10.4306/pi.2012.9.3.307. Epub 2012 Sep 6.

Abstract

Here, we report psychotic symptoms together with a right cerebellopontine-angle lesion. A37-year-old female patient presented with a trigeminal Schwannoma occupying the right cerebellopontine angle. Her psychotic symptoms included auditory hallucinations and delusions of persecution. T1- and T2-weighted images on magnetic resonance imaging (MRI) revealed hyperintense and hypointense areas in the right cerebellopontine angle, respectively. The clinical and neuroimaging reviews in this case suggest that sudden onset of psychotic symptoms at a mature age may be associated with a right cerebellopontine-angle lesion and that MRI should be used to evaluate possible organic bases in patients that present with psychosis.

摘要

在这里,我们报告了一例伴有右侧小脑脑桥角病变的精神病症状。一名 37 岁女性患者因三叉神经鞘瘤而出现右侧小脑脑桥角占位。其精神病症状包括幻听和被害妄想。磁共振成像(MRI)的 T1 和 T2 加权图像分别显示右小脑脑桥角的高信号和低信号区域。本例的临床和神经影像学回顾表明,成熟年龄突然出现精神病症状可能与右侧小脑脑桥角病变有关,对于出现精神病的患者,应使用 MRI 评估可能的器质性基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0837/3440482/325d868cd5bd/pi-9-307-g001.jpg

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