Turkalj I, Stojanovic S, Petrovic K, Njagulj V, Mikov I, Spanovic M
Centre of Radiology, Clinical Centre of Vojvodina, Novi Sad, Serbia.
Hippokratia. 2012 Jul;16(3):275-7.
Traumatic brain injury sometimes can lead to psychotic disorder which resembles schizophrenia. We report a 17-year-old boy, admitted to psychiatric department for psychotic symptomatology. He had suffered penetrating craniocerebral injury after stabbing by a billiard stick, three years earlier. On admission, he expressed delusions with paranoid and religious content. The magnetic resonance imaging of the brain showed a 10 cm large tubular area of posttraumatic encephalomalacia of the left hemisphere, whereas the electroencephalography revealed slow left temporal activity. The patient's recovery was uneventful with clozapine at a dosage of 100 mg daily. This case shows the diagnostic challenge in differentiation between schizophrenia and psychotic disorder due to traumatic brain injury. The authors emphasise the importance of imaging of the brain, especially magnetic resonance, in establishing the diagnosis of psychotic disorder due to traumatic brain injury.
创伤性脑损伤有时会导致类似于精神分裂症的精神障碍。我们报告一名17岁男孩，因精神症状入住精神科。三年前，他被台球杆刺伤后遭受了穿透性颅脑损伤。入院时，他表现出带有偏执和宗教内容的妄想。脑部磁共振成像显示左半球有一个10厘米大的创伤后脑软化管状区域，而脑电图显示左颞叶活动缓慢。患者每天服用100毫克氯氮平后恢复顺利。该病例显示了区分精神分裂症和创伤性脑损伤所致精神障碍的诊断挑战。作者强调脑部成像，尤其是磁共振成像，在诊断创伤性脑损伤所致精神障碍中的重要性。
