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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.

DOI:10.4306/pi.2012.9.3.307
PMID:22993532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3440482/
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
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0837/3440482/325d868cd5bd/pi-9-307-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0837/3440482/325d868cd5bd/pi-9-307-g001.jpg

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本文引用的文献

1
[100 Years of the Japanese Journal of Psychiatry and Neurology--the year of 1911--cerebellopontine angle tumor].《日本精神神经病学杂志》百年——1911年——桥小脑角肿瘤
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Acoustic neuroma identified after electroconvulsive therapy in a patient with recurrent major depression and undifferentiated somatoform disorder.电抽搐治疗后发现听神经瘤患者，该患者反复发作重度抑郁症和未分化躯体形式障碍。
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健康受试者的半球侧化模式与精神病性体验
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A case of psychotic disorder associated with a right temporal lesion: a special reference to magnetic resonance imaging and single photon emission computed tomography findings.一例与右侧颞叶病变相关的精神障碍病例：特别提及磁共振成像和单光子发射计算机断层扫描结果。
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Lateralized attentional abnormality in schizophrenia is correlated with severity of symptoms.精神分裂症中的偏侧化注意异常与症状严重程度相关。
Biol Psychiatry. 1993 Jan 15;33(2):93-9. doi: 10.1016/0006-3223(93)90307-y.
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Correlation of severity of psychiatric patients' delusions with right hemispatial inattention (left-turning behavior).精神科患者妄想严重程度与右侧半侧空间忽视（向左转向行为）的相关性。
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