表现为神经性厌食症的右额叶胶质瘤：进一步表明背侧前扣带回为功能障碍区域。
Right frontal lobe glioma presenting as anorexia nervosa: further evidence implicating dorsal anterior cingulate as an area of dysfunction.
机构信息
Section of Eating Disorders, Department of Psychological Medicine, King's College London, Institute of Psychiatry, London, United Kingdom.
出版信息
Int J Eat Disord. 2013 Mar;46(2):189-92. doi: 10.1002/eat.22072. Epub 2012 Dec 26.
OBJECTIVE
The association of anorexia nervosa (AN) with organic brain lesions may offer insight into underlying illness neuropathology. A systematic review reported an association between AN and lesions located in the right frontal lobe. To date, no studies have studied such a case longitudinally. A case of a male presenting with AN and a frontal lobe glioma is described.
METHOD
The clinical symptoms and subsequent medical and neuropsychological investigations before and after surgery are reviewed.
RESULTS
The remission of ED symptoms is observed at 2 year post-surgery follow up.
DISCUSSION
The features of this case are set into the context of recent conceptualizations of AN and the clinical implications for identifying individuals with underlying organic causes.
目的
神经性厌食症（AN）与器质性脑损伤的关联可能为潜在疾病神经病理学提供深入了解。一项系统评价报告称，AN 与位于右额叶的病变之间存在关联。迄今为止，尚无研究对这种病例进行纵向研究。本文描述了一例男性患者表现为 AN 和额叶胶质瘤。
方法
回顾了手术前后的临床症状及随后的医学和神经心理学检查。
结果
术后 2 年随访时观察到 ED 症状缓解。
讨论
该病例的特征与最近对 AN 的概念化以及识别潜在器质性原因个体的临床意义相结合。
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