Gnanavel Sundar
AIIMS, New Delhi, India.
BMJ Case Rep. 2013 Dec 10;2013:bcr2013201771. doi: 10.1136/bcr-2013-201771.
Psychiatric illnesses following cerebrovascular accidents has been a popular area of research in recent times. Though poststroke anxiety and mood disorders including depression have been reported often, reports of poststroke psychosis have been considerably rarer. This case report documents an even rarer occurrence of a psychotic disorder in an 8-year-old child with moyamoya disease following a cerebrovascular accident. The child was managed with low-dose atypical antipsychotic, risperidone and the psychotic symptoms eventually were under control around 3 weeks following the initiation of psychotropic medication.
近年来,脑血管意外后出现的精神疾病一直是一个热门的研究领域。虽然经常有关于中风后焦虑和包括抑郁症在内的情绪障碍的报道,但中风后精神病的报道却相当罕见。本病例报告记录了一名8岁烟雾病患儿在脑血管意外后发生的更为罕见的精神障碍。该患儿使用低剂量非典型抗精神病药物利培酮进行治疗,在开始使用精神药物治疗约3周后,精神病症状最终得到控制。