Department of Psychiatry, College of Medicine, Chung-Ang University, Seoul, Korea.
Clin Psychopharmacol Neurosci. 2011 Aug;9(2):91-3. doi: 10.9758/cpn.2011.9.2.91. Epub 2011 Aug 31.
This paper presents the case of a 67-year-old woman who visited the Psychiatry Department complaining of persecutory ideas and auditory hallucinations after a buccal cancer operation. On neuropsychological testing, she demonstrated paranoid psychosis and bizarre thoughts. Hospital admission was recommended for supportive care and treatment with antipsychotics. She was initially treated with olanzapine, but this medication had little effect and was replaced with amisulpride, which reduced the residual symptoms. The aim of this report was to discuss the diagnostic process and treatment of very late-onset schizophrenia-like psychosis.
本文报告了一例 67 岁女性病例，该患者因颊癌手术后出现被害妄想和幻听而就诊于精神科。神经心理学测试显示其患有偏执性精神病和奇异思维。建议住院进行支持性治疗和抗精神病药物治疗。她最初接受奥氮平治疗，但效果不佳，随后换用氨磺必利，残余症状得到缓解。本报告旨在讨论极晚发性类似精神分裂症样精神病的诊断过程和治疗方法。
