Vieregge P, Gerhard L, Reinhardt V
Rheinische Landesklinik--Psychiatrische Klinik, Universität Düsseldorf.
Fortschr Neurol Psychiatr. 1988 Nov;56(11):373-9. doi: 10.1055/s-2007-1001800.
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.
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。