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一例以精神障碍为首发表现的Lhermitte-Duclos病病例报告。

A case report of Lhermitte-Duclos disease revealed by psychiatric disturbances.

作者信息

Otheman Yassine, Aalouane Rachid, Aarab Chadia, Rammouz Ismail

机构信息

Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco.

Psychiatry Department, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco.

出版信息

Ann Gen Psychiatry. 2017 May 30;16:24. doi: 10.1186/s12991-017-0147-1. eCollection 2017.

Abstract

BACKGROUND

Lhermitte-Duclos disease (LDD) is a rare cerebellar lesion characterized by a hamartomatous lesion in the posterior fossa. Mainly diagnosed by MRI, the clinical presentation is usually made of neurological symptoms.

CASE PRESENTATION

We present here a rare case of a woman who developed depressive symptoms that inaugurated the clinical presentation of LDD.

CONCLUSION

Psychiatric symptoms may occur in all brain lesions, delaying the diagnosis and causing therapeutic escalation. More attention should be given by practitioners to psychiatric aspects of LDD.

摘要

背景

Lhermitte-Duclos病(LDD)是一种罕见的小脑病变,其特征为后颅窝的错构瘤样病变。主要通过磁共振成像(MRI)诊断,临床表现通常为神经症状。

病例报告

我们在此呈现一例罕见病例,一名女性出现抑郁症状,这成为了LDD临床表现的首发症状。

结论

所有脑部病变都可能出现精神症状,从而延迟诊断并导致治疗升级。从业者应更加关注LDD的精神方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bad5/5450341/98b657fd89ba/12991_2017_147_Fig1_HTML.jpg

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