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以精神病为表现的神经囊尾蚴病:一例报告及文献综述

Neurocysticercosis presenting as psychosis: A case report and a brief literature review.

作者信息

Ahmed Saeed, Usmani Sadia, Javed Sana, Hans Aakash, Saboor Sundas, Hanif Aunsa, Saleem Sheikh Mohd, Shoib Sheikh

机构信息

Rutland Regional Medical Center, Rutland, VT, USA.

Psychiatry, Dow University of Health Sciences, Karachi, Pakistan.

出版信息

SAGE Open Med Case Rep. 2022 May 20;10:2050313X221100396. doi: 10.1177/2050313X221100396. eCollection 2022.

DOI:10.1177/2050313X221100396
PMID:35615741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9125614/
Abstract

Patients with neurocysticercosis, a common infection of the central nervous system caused by , have been reported to develop neuropsychiatric complications. We report a unique case of recurrent psychosis caused by neurocysticercosis in a 37-year-old El Salvador immigrant woman and discuss the underlying pathophysiological mechanisms of the complications. We reviewed published case reports of neurocysticercosis that presented with psychotic features and compared their diagnostic evaluation, the underlying pathophysiology of complications and treatment regimen with our case. This review concludes that neurocysticercosis should be considered in the differential diagnosis of patients presenting with psychosis with a history of residence in an endemic area.

摘要

神经囊尾蚴病是一种由[病原体未提及]引起的常见中枢神经系统感染,据报道,患有这种疾病的患者会出现神经精神并发症。我们报告了一例37岁的萨尔瓦多移民女性因神经囊尾蚴病导致复发性精神病的独特病例,并讨论了并发症的潜在病理生理机制。我们回顾了已发表的具有精神病特征的神经囊尾蚴病病例报告,并将其诊断评估、并发症的潜在病理生理学和治疗方案与我们的病例进行了比较。本综述得出结论,对于有流行地区居住史且出现精神病症状的患者,在鉴别诊断时应考虑神经囊尾蚴病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aab/9125614/6fcf2f40fb24/10.1177_2050313X221100396-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aab/9125614/6fcf2f40fb24/10.1177_2050313X221100396-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aab/9125614/6fcf2f40fb24/10.1177_2050313X221100396-fig1.jpg

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本文引用的文献

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Neurocysticercosis Presenting as Acute Psychosis: An Unusual Case.以急性精神病为表现的神经囊尾蚴病:一例罕见病例。
Psychiatr Danub. 2020 Autumn;32(3-4):445-446.
2
Right-sided brain lesions predominate among patients with lesional mania: evidence from a systematic review and pooled lesion analysis.右侧大脑病变在病变性躁狂症患者中更为常见:来自系统评价和汇总病变分析的证据。
Transl Psychiatry. 2020 May 12;10(1):139. doi: 10.1038/s41398-020-0811-0.
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New-Onset Psychosis Associated With a Lesion Localized in the Rostral Tectum: Insights Into Pathway-Specific Connectivity Disrupted in Psychosis.
与位于嘴侧顶盖的病变相关的新发精神病:对精神病中特定通路连接中断的见解。
Schizophr Bull. 2020 Sep 21;46(5):1296-1305. doi: 10.1093/schbul/sbaa018.
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A case of neurocysticercosis: Neuropsychiatric manifestations, course, and treatment.一例神经囊尾蚴病:神经精神症状、病程及治疗
Indian J Psychiatry. 2019 Sep-Oct;61(5):537-538. doi: 10.4103/psychiatry.IndianJPsychiatry_466_18.
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The causal relationship between neurocysticercosis infection and the development of epilepsy - a systematic review.神经囊尾蚴病感染与癫痫发作之间的因果关系——一项系统综述
Infect Dis Poverty. 2017 Apr 5;6(1):31. doi: 10.1186/s40249-017-0245-y.
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Disease-Induced Neuroinflammation and Depression.疾病诱发的神经炎症与抑郁症
CNS Neurol Disord Drug Targets. 2016;15(4):414-33. doi: 10.2174/1871527315666160321104749.
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Managing neurocysticercosis: challenges and solutions.神经囊尾蚴病的管理:挑战与解决方案
Int J Gen Med. 2015 Oct 16;8:333-44. doi: 10.2147/IJGM.S73249. eCollection 2015.
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Immune mechanisms linked to depression via oxidative stress and neuroprogression.通过氧化应激和神经进展与抑郁症相关的免疫机制。
Immunology. 2015 Mar;144(3):365-373. doi: 10.1111/imm.12443. Epub 2015 Jan 10.
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Clinical symptoms, diagnosis, and treatment of neurocysticercosis.神经囊虫病的临床症状、诊断和治疗。
Lancet Neurol. 2014 Dec;13(12):1202-15. doi: 10.1016/S1474-4422(14)70094-8. Epub 2014 Nov 10.
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The role of the neuroendocrine and immune systems in the pathogenesis of depression.神经内分泌系统和免疫系统在抑郁症发病机制中的作用。
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