Li Keqing, Yang William T, Perez Alexander G
Psychiatry, St. George's University School of Medicine, Grenada, GRD.
Crisis Stabilization Unit (CSU), Jackson Memorial Hospital, Opa Locka, USA.
Cureus. 2021 Dec 25;13(12):e20688. doi: 10.7759/cureus.20688. eCollection 2021 Dec.
This case report is unique in its rare presentation of dissociative amnesia with schizophrenia and CT presentation of involutionary prefrontal cortex change. In this case, the patient lost all autobiographical information and memories of his past. He mysteriously appeared in the public health system six months ago without a previous public record and with an alias. In addition, he presented with disorganized behavior, dissociative amnesia, and was internally preoccupied. We diagnosed the patient with schizophrenia and started pharmacological intervention. Unfortunately, the patient had no improvement of insight, and his memory problem persisted despite the treatment. Thus, this case brings attention to dissociative amnesia with comorbid schizophrenia. Moreover, the patient had improvement in mood, but his dissociative amnesia persisted despite medication.
本病例报告的独特之处在于,它罕见地呈现了伴有精神分裂症的分离性遗忘症以及 involutionary 前额叶皮质改变的 CT 表现。在该病例中,患者失去了所有自传性信息及对过去的记忆。他于六个月前神秘地出现在公共卫生系统中,此前并无公共记录且使用化名。此外,他表现出行为紊乱、分离性遗忘症,且内心专注。我们诊断该患者患有精神分裂症并开始进行药物干预。不幸的是,患者的洞察力没有改善,尽管接受了治疗,其记忆问题仍然存在。因此,本病例引起了对伴有共病精神分裂症的分离性遗忘症的关注。此外,患者的情绪有所改善,但尽管用药,其分离性遗忘症仍然存在。