在精神症状首次出现时进行神经影像学检查的必要性。
The need for neuroimaging in first manifestations of psychiatric symptoms.
作者信息
Saleh Christian, Seidl Ulrich, Hutter Gregor, Hund-Georgiadis Margret
机构信息
Department of Neurology, Center for Neurorehabilitation and Paraplegiology, REHAB Basel.
Department of Psychiatry, Clinic for Psychiatry, Psychotherapy and Psychosomatics, SHG-Kliniken Sonnenberg, Saarbrücken, Germany.
出版信息
Surg Neurol Int. 2021 Sep 6;12:441. doi: 10.25259/SNI_754_2021. eCollection 2021.
BACKGROUND
Brain imaging in psychiatry, especially by first-episode psychiatric symptoms, is unfortunately not a standard procedure in psychiatric clinics and is recommended only if indicated by history or if associated with neurological findings. As a result, the most serious diagnoses can be delayed or missed.
CASE DESCRIPTION
We describe a patient who presented with psychiatric symptoms admitted initially to a psychiatric clinic. Thanks to routine imaging the diagnosis of a brain tumor could be made with prompt transfer to neurosurgery.
CONCLUSION
Brain imaging should be a mandatory procedure upon admission to a psychiatric clinic also in patients who present with exclusive psychiatric symptoms.
背景
遗憾的是，在精神病诊所中，精神病学的脑部成像，尤其是针对首发精神症状的成像，并非标准程序，仅在病史提示或伴有神经学检查结果时才建议进行。因此，最严重的诊断可能会被延迟或漏诊。
病例描述
我们描述了一名最初因精神症状入住精神病诊所的患者。由于进行了常规成像检查，得以诊断出脑肿瘤，并迅速转诊至神经外科。
结论
对于仅表现出精神症状的患者，脑部成像也应作为入住精神病诊所时的一项强制检查程序。
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