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中风后非典型精神分裂症样精神病中的思维障碍:临床病例分析

Thought disorder in atypical schizophrenia-like psychosis after stroke: analysis of clinical cases.

作者信息

Lo Buono Viviana, Corallo Francesco, Allone Cettina, Bonanno Lilla, Sessa Edoardo, Todaro Antonino, Pidalà Alessandra, Bramanti Alessia, Marino Silvia

机构信息

a Department of Neurobioimaging , IRCCS Centro Neurolesi Bonino-Pulejo , Messina , Italy.

出版信息

Neurocase. 2019 Jun-Aug;25(3-4):130-132. doi: 10.1080/13554794.2019.1623266. Epub 2019 May 29.

DOI:10.1080/13554794.2019.1623266
PMID:31138024
Abstract

Formal thought disorder refers to disorganized thinking and it represents a hallmark of schizophrenia and psychosis. Psychosis is a rare complication after stroke. We described two cases of female patients, who developed an atypical schizophrenia-like psychosis post-stroke, characterized by formal thought disorder, hallucinations, and delusion. Cerebrovascular disease affected the right temporal lobe, areas devoted to modulation of higher order cognitive processes. To date, the relation between stroke and psychosis remain unclear, maybe due to the involvement of a complex brain networks. However, the high impact of this disorder on physical, psychological and social wellbeing suggests the importance of improving specific treatments.

摘要

形式思维障碍指思维紊乱,是精神分裂症和精神病的一个标志。精神病是中风后一种罕见的并发症。我们描述了两例女性患者,她们在中风后出现了非典型的精神分裂症样精神病,其特征为形式思维障碍、幻觉和妄想。脑血管疾病影响了右侧颞叶,该区域负责调节高阶认知过程。迄今为止,中风与精神病之间的关系仍不清楚,可能是由于涉及复杂的脑网络。然而,这种疾病对身体、心理和社会福祉的严重影响表明了改进特定治疗方法的重要性。

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