妊娠妄想：痴呆背景下的一种不寻常症状。
Delusion of pregnancy: an unusual symptom in the context of dementia.
作者信息
Cipriani Gabriele, Di Fiorino Mario
机构信息
Neurology Unit, Hospital of Viareggio, Lido di Camaiore, Lucca, Italy
Psychyatry Unit, Hospital of Viareggio, Lido di Camaiore, Lucca, Italy.
出版信息
Am J Alzheimers Dis Other Demen. 2015 Jun;30(4):341-5. doi: 10.1177/1533317514549412. Epub 2014 Sep 5.
BACKGROUND
Delusions can complicate practically all brain disorders. They may be dramatic and bizarre. An example is the so-called delusion of pregnancy.
OBJECTIVE
To identify the characteristic of a psychotic symptom, the phenomenon of delusion of pregnancy, in the context of dementia.
METHOD
MEDLINE and Google Scholar searches were conducted for relevant articles, chapters, and books published before 2014. Search terms used included delusion of pregnancy, uncommon presentation, behavioral and psychological symptoms, dementia, Alzheimer's disease, and frontotemporal dementia (FTD). Publications found through this indexed search were reviewed for further relevant references. We included case reports that highlight the relationship and overlap between dementia presenting as schizophrenia-like psychosis and schizophrenia.
RESULTS
Literature on delusion of pregnancy in the course of dementia consists mostly of case reports and small samples of patients.
CONCLUSION
Psychotic phenomena such as delusion of pregnancy may be a feature in some cases of dementia. If this bizarre features of dementia appears as early presentation of FTD whose usual onset is in the presenium, it may be mistaken for schizophrenia.
背景
妄想实际上会使所有脑部疾病变得复杂。它们可能很夸张且怪异。一个例子就是所谓的妊娠妄想。
目的
在痴呆症的背景下识别一种精神病性症状——妊娠妄想现象的特征。
方法
对2014年之前发表的相关文章、章节和书籍进行了医学文献数据库（MEDLINE）和谷歌学术搜索。使用的搜索词包括妊娠妄想、不常见表现、行为和心理症状、痴呆症、阿尔茨海默病和额颞叶痴呆（FTD）。对通过此次索引搜索找到的出版物进行审查以获取更多相关参考文献。我们纳入了强调表现为精神分裂症样精神病的痴呆症与精神分裂症之间关系和重叠的病例报告。
结果
关于痴呆症病程中妊娠妄想的文献大多由病例报告和小样本患者组成。
结论
诸如妊娠妄想之类的精神病性现象在某些痴呆症病例中可能是一个特征。如果这种痴呆症的怪异特征作为通常发病于早老期的额颞叶痴呆的早期表现出现，它可能会被误诊为精神分裂症。
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