Eibye Simone, Jensen Hans Mørch
Psychiatric Centre of Copenhagen, Bispebjerg Bakke 23, 2400 Copenhagen NV, Denmark.
Case Rep Psychiatry. 2014;2014:529052. doi: 10.1155/2014/529052. Epub 2014 Nov 27.
We report a case of a woman suffering from persistent genital arousal disorder (PGAD) after paroxetine cessation. She was admitted to a psychiatric department and diagnosed with agitated depression. Physical investigation showed no gynaecological or neurological explanation; however, a pelvic MRI scan revealed a Tarlov cyst. Size and placement of the cyst could not explain the patient's symptoms; thus neurosurgical approach would not be helpful. Her depression was treated with antidepressant with little effect. Electroconvulsive therapy improved the patient's symptoms though they did not fully resolve. More awareness of PGAD and thorough interdisciplinary conferences are necessary to insure an unequivocal treatment strategy.
我们报告一例女性在停用帕罗西汀后患有持续性性唤起障碍（PGAD）的病例。她入住精神科，被诊断为激越性抑郁症。体格检查未发现妇科或神经科方面的解释；然而，盆腔磁共振成像扫描显示一个塔尔洛夫囊肿。囊肿的大小和位置无法解释患者的症状；因此神经外科手术方法并无帮助。她的抑郁症用抗抑郁药治疗效果甚微。电休克疗法改善了患者的症状，但症状并未完全缓解。提高对PGAD的认识以及召开全面的跨学科会议对于确保明确的治疗策略是必要的。
