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[两名患有22q11.2缺失综合征(迪乔治综合征)的成年患者的异质性神经精神表型:是否适用于研究领域标准分类(RDoC)?]

[Heterogeneous neuropsychiatric phenotypes in two adult patients with 22q11.2 deletion syndrome (DiGeorge's syndrome): a case for RDoC?].

作者信息

Praus Peter, Braun Urs, Bleich Melanie, Meyer-Lindenberg Andreas, Hennig Oliver

机构信息

Klinik für Psychiatrie und Psychotherapie, Zentralinstitut für Seelische Gesundheit, J5, 68159, Mannheim, Deutschland.

Klinik für Forensische Psychiatrie, Pfalzklinikum für Neurologie und Psychiatrie, Weinstraße 100, 76889, Klingenmünster, Deutschland.

出版信息

Nervenarzt. 2022 May;93(5):483-487. doi: 10.1007/s00115-021-01226-6. Epub 2021 Nov 4.

Abstract

DiGeorge's syndrome is one of the most frequent microdeletion syndromes and is associated with a high risk for neuropsychiatric disorders of intelligence, social communication and executive functioning as well as psychotic disorders. The male patient described here represents one of the rare descriptions of Tourette's syndrome on the basis of a 22q11.2 microdeletion syndrome. The following two case studies demonstrate the variety of related clinical presentations. A characterization of these patients in a clinical and scientific context by the means of Research Domain Criteria (RDoC) enables a transdiagnostic description of overlapping as well as specific neuropsychiatric functional impairments. Possibly, this dimensional characterization might also facilitate a more exact differentiation of pleiotropic associations between genotype and phenotype.

摘要

迪乔治综合征是最常见的微缺失综合征之一,与智力、社交沟通和执行功能等神经精神障碍以及精神障碍的高风险相关。本文描述的男性患者是基于22q11.2微缺失综合征对抽动秽语综合征的罕见描述之一。以下两个病例研究展示了相关临床表现的多样性。通过研究领域标准(RDoC)在临床和科学背景下对这些患者进行特征描述,能够对重叠以及特定的神经精神功能损害进行跨诊断描述。这种维度特征描述可能也有助于更准确地区分基因型和表型之间的多效性关联。

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