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前囊切开术改善伴有精神障碍的持续性发展性口吃:病例报告及文献复习。

Anterior capsulotomy improves persistent developmental stuttering with a psychiatric disorder: a case report and literature review.

机构信息

Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, People's Republic of China.

出版信息

Neuropsychiatr Dis Treat. 2014 Apr 1;10:553-8. doi: 10.2147/NDT.S58984. eCollection 2014.

Abstract

Stuttering is characterized by disrupted fluency of verbal expression, and occurs mostly in children. Persistent developmental stuttering (PDS) may occur in adults. Reports of the surgical management of PDS are limited. Here we present the case of a 28-year-old man who had had PDS since the age of 7 years, was diagnosed with depression and anxiety disorder at the age of 24 years, and had physical concomitants. He underwent a bilateral anterior capsulotomy 4 years after the diagnosis. Over one year of follow-up, his physical concomitants resolved, and significant improvements in his psychiatric disorders and PDS were observed. To the best of our knowledge, this is the first report of simultaneous improvement in a patient's PDS and psychiatric disorder after a bilateral anterior capsulotomy.

摘要

口吃的特征是言语表达流畅性中断,主要发生在儿童中。持续性发展性口吃(PDS)可能发生在成年人中。关于 PDS 的手术治疗的报告有限。在这里,我们报告了一例 28 岁男性的病例,他从 7 岁起就患有 PDS,24 岁时被诊断出患有抑郁症和焦虑症,并且有身体伴随症状。他在诊断后 4 年接受了双侧前囊切开术。在随访超过一年的时间里,他的身体伴随症状得到了缓解,并且他的精神障碍和 PDS 都有了显著的改善。据我们所知,这是首例报告双侧前囊切开术后患者的 PDS 和精神障碍同时得到改善的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bf8/3979796/34392f90c9f0/ndt-10-553Fig1.jpg

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