Mohan Adith, Lee Teresa, Sachdev Perminder
Centre for Healthy Brain Ageing, School of Psychiatry, UNSW Medicine, University of New South Wales, Kensington, New South Wales, Australia.
BMJ Case Rep. 2014 Mar 19;2014:bcr2013203025. doi: 10.1136/bcr-2013-203025.
We report the case of a 22-year-old woman who presented with self-poisoning by cyanide ingestion. We have elected to pay particular attention to describing the neuropsychological sequelae of cyanide poisoning, and the evolution of these deficits over a 6-month period. Prominent deficits in episodic memory were noted from an early stage, which were consistent with the findings noted on structural neuroimaging. These deficits remained persistent, although improving in severity over the follow-up period. No focal neurological deficits or abnormal involuntary movements emerged, and the patient's overall functional status remained satisfactory. The patient's psychiatric presentation and background history are briefly discussed.
我们报告了一例22岁女性因摄入氰化物而自我中毒的病例。我们选择特别关注描述氰化物中毒的神经心理学后遗症,以及这些缺陷在6个月期间的演变情况。从早期就注意到情景记忆存在明显缺陷,这与结构性神经影像学检查的结果一致。这些缺陷持续存在,尽管在随访期间严重程度有所改善。未出现局灶性神经功能缺损或异常不自主运动,患者的整体功能状态仍令人满意。本文简要讨论了患者的精神症状表现和背景病史。