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阿尔茨海默病视幻觉的研究

A Study of Visual Hallucinations in Alzheimer's Disease.

作者信息

Holroyd Suzanne, Sheldon-Keller Adrienne

机构信息

Department of Psychiatric Medicine, University of Virginia School of Medicine.

出版信息

Am J Geriatr Psychiatry. 1995;3(3):198-205. doi: 10.1097/00019442-199522330-00003. Epub 2012 Aug 15.

DOI:10.1097/00019442-199522330-00003
PMID:28531041
Abstract

The authors screened 98 patients with probable Alzheimer's disease for visual hallucinations. Each patient with visual hallucinations was matched by cognitive score to two patients without visual hallucinations and compared on variables including visual acuity and visual agnosia. Eighteen (18.4%) of the patients were found to have visual hallucinations. Variables significantly associated with hallucinations included older age, female sex, decreased visual acuity, and presence of visual agnosia. Although having a history of visual disorder approached statistical significance, logistic regression analysis revealed that three variables: age, visual acuity in the "best eye," and visual agnosia, correctly classified 91% of patients as hallucinators vs. non-hallucinators. This work supports a growing body of research showing a relationship between visual hallucinations and the visual system across a variety of disorders.

摘要

作者对98名疑似阿尔茨海默病患者进行了视幻觉筛查。将每名有视幻觉的患者按认知得分与两名没有视幻觉的患者进行匹配,并在包括视力和视觉失认等变量上进行比较。发现18名(18.4%)患者有视幻觉。与幻觉显著相关的变量包括年龄较大、女性、视力下降和存在视觉失认。虽然有视觉障碍史接近统计学显著性,但逻辑回归分析显示,年龄、“最佳眼”的视力和视觉失认这三个变量能将91%的患者正确分类为幻觉者和非幻觉者。这项研究支持了越来越多的研究,这些研究表明视幻觉与各种疾病中的视觉系统之间存在关联。

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引用本文的文献

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Understanding neuropsychiatric symptoms in Alzheimer's disease: challenges and advances in diagnosis and treatment.了解阿尔茨海默病中的神经精神症状:诊断与治疗的挑战和进展
Front Neurosci. 2023 Sep 5;17:1263771. doi: 10.3389/fnins.2023.1263771. eCollection 2023.
2
Psychosis in Alzheimer's Disease.阿尔茨海默病中的精神病。
Curr Neurol Neurosci Rep. 2020 Oct 13;20(12):57. doi: 10.1007/s11910-020-01074-y.
3
Visual hallucinations in Alzheimer's disease is significantly associated with clinical diagnostic features of dementia with Lewy bodies.
阿尔茨海默病中的视幻觉与路易体痴呆的临床诊断特征显著相关。
PLoS One. 2017 Oct 31;12(10):e0186886. doi: 10.1371/journal.pone.0186886. eCollection 2017.
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Cataract and cognitive impairment: a review of the literature.白内障与认知障碍:文献回顾。
Br J Ophthalmol. 2011 Jan;95(1):17-23. doi: 10.1136/bjo.2009.165902. Epub 2010 Aug 31.
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Olfactory dysfunction and cardiovascular dysautonomia in Parkinson's disease.帕金森病的嗅觉功能障碍和心血管自主神经功能障碍。
J Neurol. 2010 Jun;257(6):969-76. doi: 10.1007/s00415-009-5447-1. Epub 2010 Jan 30.
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Visual hallucinatory syndromes: past, present, and future.视幻觉综合征:过去、现在与未来。
Dialogues Clin Neurosci. 2007;9(2):173-89. doi: 10.31887/DCNS.2007.9.2/dffytche.
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Neuropsychiatric aspects of Alzheimer's disease.阿尔茨海默病的神经精神方面
Curr Psychiatry Rep. 1999 Oct;1(1):49-60. doi: 10.1007/s11920-999-0010-4.