Blackshaw S, Bowen R C
Dept. of Psychiatry, University Hospital, Saskatoon, Saskatchewan.
Can J Psychiatry. 1987 Nov;32(8):688-92. doi: 10.1177/070674378703200809.
The case history is presented of a man with an atypical psychosis and classical clinical features of alexithymia. On his last admission, the patient presented with starvation and hypernatremic coma. A CT scan, which was done because of the coma, revealed a large left fronto-temporal arachnoid cyst. The significance of this finding is reviewed in the light of previously suggested organic bases for alexithymia and related syndromes. Although the symptom of alexithymia is present, the patient's other symptoms do not fit readily into existing diagnostic categories and the resulting diagnostic dilemma is discussed.
本文介绍了一名患有非典型精神病及述情障碍典型临床特征的男性病例。在其最后一次入院时，患者出现饥饿及高钠血症昏迷。因昏迷进行的CT扫描显示左侧额颞部有一个巨大的蛛网膜囊肿。根据先前提出的述情障碍及相关综合征的器质性基础，对这一发现的意义进行了综述。尽管存在述情障碍症状，但患者的其他症状并不容易归入现有的诊断类别，文中讨论了由此产生的诊断困境。
