小儿基底节区卒中对儿童心理健康的影响：2例报告
The Impact of Pediatric Basal Ganglia Stroke on Mental Health in Children: Report of 2 Cases.
作者信息
Badar Sidrah A, Radhakrishnan Rupa, Golomb Meredith R
机构信息
Division of Pediatric Neurology, Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA.
Division of Pediatric Neuroradiology, Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, USA.
出版信息
Child Neurol Open. 2020 Dec 15;7:2329048X20979248. doi: 10.1177/2329048X20979248. eCollection 2020 Jan-Dec.
BACKGROUND
The impact of basal ganglia stroke on mental health is better described in adults than in children. We report 2 children with significant mental health issues after basal ganglia stroke.
CASE REPORTS
Patient 1, an 8-year-old boy, had mild anxiety before his left basal ganglia stroke. Post-stroke, he developed severe anxiety, obsessions, depression, and attention deficit hyperactivity disorder, in addition to a right hemiplegia and some mild chorea. He gradually improved over 3 years with psychiatric care and medication but continued to have residual symptoms. Patient 2, a 10-year-old boy, had no history of mental health issues before his right basal ganglia stroke. Post-stroke, he developed significant anxiety and mild depression, along with a left hemiplegia. He improved over 9 months and returned to his mental health baseline.
CONCLUSIONS
Mental health issues after basal ganglia stroke in children can be significant, and recovery can take months to years.
背景
基底节区卒中对心理健康的影响在成人中比在儿童中描述得更清楚。我们报告了2例基底节区卒中后出现严重心理健康问题的儿童。
病例报告
病例1，一名8岁男孩，在左侧基底节区卒中前有轻度焦虑。卒中后，除了右侧偏瘫和一些轻度舞蹈症外，他还出现了严重焦虑、强迫观念、抑郁和注意力缺陷多动障碍。经过3年的心理治疗和药物治疗，他逐渐好转，但仍有残留症状。病例2，一名10岁男孩，在右侧基底节区卒中前没有心理健康问题史。卒中后，他出现了明显的焦虑和轻度抑郁，以及左侧偏瘫。他在9个月内好转并恢复到心理健康基线水平。
结论
儿童基底节区卒中后的心理健康问题可能很严重，恢复可能需要数月至数年时间。
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