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一例以病理性赌博为表现的额颞叶痴呆合并肌萎缩侧索硬化症。

A case of frontotemporal dementia with amyotrophic lateral sclerosis presenting with pathological gambling.

机构信息

Department of Psychiatry, Ankara University School of Medicine, Ankara, Turkey.

出版信息

J Clin Neurol. 2013 Apr;9(2):133-7. doi: 10.3988/jcn.2013.9.2.133. Epub 2013 Apr 4.

DOI:10.3988/jcn.2013.9.2.133
PMID:23626653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3633192/
Abstract

BACKGROUND

Pathological gambling (PG), which is characterized by consistent, repetitive gambling and unsuccessful quitting attempts, is classified as an impulse control disorder. PG has also been reported in patients with Parkinson's disease, frontotemporal dementia, and amyotrophic lateral sclerosis.

CASE REPORT

A 53-year-old male visited the outpatient clinic due to excessive gambling and personality changes. Based on electrophysiological findings and neuropsychiatric assessment, he was diagnosed as frontotemporal dementia-amyotrophic lateral sclerosis.

CONCLUSIONS

This case report underlines that PG can also be seen in patients with neurological disorders involving the orbitofrontal cortex.

摘要

背景

病理性赌博（PG）的特征为持续、重复的赌博行为和戒赌失败，被归类为冲动控制障碍。在帕金森病、额颞叶痴呆和肌萎缩侧索硬化症患者中也有 PG 的报道。

病例报告

一名 53 岁男性因过度赌博和个性改变而到门诊就诊。根据电生理发现和神经精神评估，他被诊断为额颞叶痴呆-肌萎缩侧索硬化症。

结论

本病例报告强调了涉及眶额皮质的神经障碍患者也可能出现 PG。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/116c/3633192/afcff7ade24d/jcn-9-133-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/116c/3633192/afcff7ade24d/jcn-9-133-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/116c/3633192/afcff7ade24d/jcn-9-133-g001.jpg

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本文引用的文献

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Pathological gambling amongst Parkinson's disease and ALS patients in an online community (PatientsLikeMe.com).在线社区（PatientsLikeMe.com）中帕金森病和肌萎缩侧索硬化症患者的病理性赌博情况。
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Trail Making Test: normative data for Turkish elderly population by age, sex and education.连线测验：土耳其老年人群按年龄、性别和教育程度划分的常模数据。
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Symptoms of frontotemporal dementia provide insights into orbitofrontal cortex function and social behavior.额颞叶痴呆的症状为眶额皮质功能和社会行为提供了见解。
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Cognition and amyotrophic lateral sclerosis (ALS).认知与肌萎缩侧索硬化症（ALS）
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Impairment of decision-making cognition in a case of frontotemporal lobar degeneration (FTLD) presenting with pathologic gambling and hoarding as the initial symptoms.一例以病理性赌博和囤积行为为首发症状的额颞叶变性（FTLD）患者的决策认知障碍。
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