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成人轻度脑炎伴可逆性胼胝体压部病变及紧张症:一例报告

Adult mild encephalitis with reversible splenial lesion and catatonia: A case report.

作者信息

Karoui Mehdi, Bouhlel Emna, Maatouk Ons, Labbene Emna, Ben Mohamed Dina, Bouaziz Mouna

机构信息

Université de Tunis El Manar, Faculté de Médecine de Tunis, 1007, Tunis, Tunisia.

Hôpital Razi, Service de Psychiatrie "G", Tunisia.

出版信息

Heliyon. 2022 Aug 17;8(8):e10257. doi: 10.1016/j.heliyon.2022.e10257. eCollection 2022 Aug.

DOI:10.1016/j.heliyon.2022.e10257
PMID:36072258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9441308/
Abstract

The relationship between corpus callosum and schizophrenia is elusive. Neuropsychiatric symptoms in Mild encephalitis with reversible splenial lesion (MERS) such as delirium, and negativism, suggest a link between corpus callosum and psychiatric disturbances. Here in, we report catatonia as an initial symptom of MERS in a schizophrenic patient. The aim of this study is to discuss the likely causal relationship between catatonic syndrome and MERS. To the best of our knowledge, the catatonia was not reported before as a prodromal symptom of MERS. We therefore report this case in order to enlarge the spectrum of MERS symptoms in psychiatric patients and discuss the relationship between catatonia and splenium lesions.

摘要

胼胝体与精神分裂症之间的关系尚不明确。轻度脑炎伴可逆性胼胝体压部病变(MERS)中的神经精神症状,如谵妄和违拗症,提示胼胝体与精神障碍之间存在联系。在此,我们报告1例精神分裂症患者以紧张症为MERS的首发症状。本研究的目的是探讨紧张症综合征与MERS之间可能的因果关系。据我们所知,此前尚未有将紧张症作为MERS前驱症状的报道。因此,我们报告该病例以扩大MERS在精神科患者中的症状谱,并讨论紧张症与胼胝体压部病变之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce9/9441308/6202f3db7652/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce9/9441308/73c3e6482843/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce9/9441308/6202f3db7652/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce9/9441308/73c3e6482843/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce9/9441308/6202f3db7652/gr2.jpg

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本文引用的文献

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Antipsychotic-induced catatonia and neuroleptic malignant syndrome: the dark side of the moon.抗精神病药物所致紧张症和抗精神病药恶性综合征:月亮的阴暗面。
Mol Psychiatry. 2021 Nov;26(11):6112-6114. doi: 10.1038/s41380-021-01158-2. Epub 2021 May 19.
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Multiparametric mapping of white matter microstructure in catatonia.
紧张症中白质微结构的多参数映射
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Reversible splenial lesion in neuroleptic malignant syndrome.抗精神病药恶性综合征中的可逆性胼胝体压部病变
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Mild encephalitis/encephalopathy with reversible splenial lesion (MERS) in adults-a case report and literature review.成人轻度脑炎/脑病伴可逆性胼胝体压部病变(MERS)——病例报告及文献综述
BMC Neurol. 2017 May 25;17(1):103. doi: 10.1186/s12883-017-0875-5.
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Clinically mild encephalopathy with a reversible splenial lesion and nonconvulsive status epilepticus in a schizophrenic patient with neuroleptic malignant syndrome.一名患有抗精神病药恶性综合征的精神分裂症患者出现临床轻度脑病伴可逆性胼胝体压部病变及非惊厥性癫痫持续状态。
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