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[精神病学中的颅内占位性病变——30年临床神经病理学随访]

[Intracranial space-occupying processes in psychiatry--30 years' of clinico-neuropathologic catamnesis].

作者信息

Vieregge P, Gerhard L, Reinhardt V

机构信息

Rheinische Landesklinik--Psychiatrische Klinik, Universität Düsseldorf.

出版信息

Fortschr Neurol Psychiatr. 1988 Nov;56(11):373-9. doi: 10.1055/s-2007-1001800.

Abstract

Despite declining frequency of postmortem examinations in mental hospitals no corresponding decline in the proportion of intracranial space-occupying lesions is observed in a 30-years retrospective study. 77.5% of these lesions were meningiomas, gliomas, metastases, and subdural haematomas. 70.4% of all 71 patients had major psychiatric abnormalities during the clinical course. In 58% of these patients no clinical diagnosis of intracranial space-occupying process was made. Reasons for the diagnostic delay and for the postmortem results are discussed. The significance of psychopathological change in the group of long-term residents in mental hospitals is stressed.

摘要

尽管精神病院尸检的频率在下降,但在一项为期30年的回顾性研究中,并未观察到颅内占位性病变的比例相应下降。这些病变中有77.5%为脑膜瘤、胶质瘤、转移瘤和硬膜下血肿。在所有71例患者中,70.4%在临床过程中存在严重的精神异常。在这些患者中,58%未做出颅内占位性病变的临床诊断。讨论了诊断延迟的原因和尸检结果。强调了精神病院长期住院患者精神病理变化的意义。

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