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[一名患有周期性怪异行为和嗜睡症的小男孩:克莱恩-莱文综合征]

[A young boy with periodic strange behavior and hypersomnia: Kleine-Levin syndrome].

作者信息

Dauwe F, Imeraj L, Dhondt K

出版信息

Tijdschr Psychiatr. 2017;59(9):564-568.

Abstract

Kleine-Levin syndrome is a rare neuro-psychiatric disease. Most of the young patients are males who present with hypersomnia, cognitive dysfunction, altered perception, eating disorder (e.g. hyperphagia) or disinhibited behaviour (e.g. hypersexuality). Psychiatric symptoms such as apathy, delusions and hallucinations, depressed mood and compulsive behaviours also appear often and result frequently in a psychiatric referral. These symptoms, however, should be distinguished from those of psychiatric diseases as early as possible in order to ensure that patients do not receive the wrong treatment. We present the case of an 11-year-old boy in whom the psychiatric symptoms were initially the most prominent ones.

摘要

克莱恩-莱文综合征是一种罕见的神经精神疾病。大多数年轻患者为男性,表现为嗜睡、认知功能障碍、感知改变、饮食失调(如贪食症)或行为脱抑制(如性欲亢进)。冷漠、妄想和幻觉、情绪低落及强迫行为等精神症状也经常出现,且常常导致患者被转诊至精神科。然而,应尽早将这些症状与精神疾病的症状区分开来,以确保患者不会接受错误的治疗。我们报告了一名11岁男孩的病例,其最初最突出的症状为精神症状。

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