YadollahiKhales Golnaz, Ghorbani Askar, Borhani-Haghighi Afshin
*Clinical Neurology Research Center and †Student Research Committee, Shiraz University of Medical Sciences, Shiraz; ‡Department of Neurology, Tehran University of Medical Sciences, Tehran; and §Department of Neurology, Shiraz University of Medical Sciences, Shiraz, Iran.
J Nerv Ment Dis. 2015 Feb;203(2):154-5. doi: 10.1097/NMD.0000000000000253.
Because psychogenic tinnitus can be a presentation of a wide range of psychiatric diseases such as anxiety disorders, somatoform and mood disorders, and personality disorders, the presence of tinnitus in the patient in this case can be easily misdiagnosed as her coexisting major depressive disorder. If brain imaging had been the only modality used, this case patient's cervical dissecting pseudoaneurysm would have been overlooked. Examination of carotid pulses and detection of carotid bruits were crucial parts in the diagnosis of the current patient's pseudoaneurysm.
由于心因性耳鸣可能是多种精神疾病的表现，如焦虑症、躯体形式障碍和情绪障碍以及人格障碍，因此该病例患者出现耳鸣很容易被误诊为其并存的重度抑郁症。如果仅采用脑成像这一检查方式，该病例患者的颈夹层假性动脉瘤就会被漏诊。检查颈动脉搏动和检测颈动脉杂音是诊断该患者假性动脉瘤的关键环节。
