精神障碍的起源：会是透明隔腔（CSP）和韦尔加腔吗？一例伴有紧张症的精神分裂症患者的透明隔腔病例报告。
Genesis of Mental Disorders: Could It Be Cavum Septum Pellucidum (CSP) et Vergae? A Case Report of CSP in Schizophrenia with Catatonia.
作者信息
Zuckerberg Allison, Pothen Nitin, Fitzsimmons Adriana
机构信息
Dr. Zuckerberg is with Department of Psychiatry, Temple University Hospital in Philadelphia, Pennsylvania.
Dr. Pothen is with Department of Psychiatry, Ocean University Medical Center in Brick, New Jersey.
出版信息
Innov Clin Neurosci. 2024 Mar 1;21(1-3):63-65. eCollection 2024 Jan-Mar.
In our case report, a 29-year-old male patient with a known history of schizophrenia presented with altered mental status and catatonia and was found to have an enlarged (21mm) cavum septum pellucidum (CSP) on magnetic resonance imaging (MRI). He was subsequently treated with escitalopram, olanzapine, methylphenidate, lorazepam, and eight electroconvulsive therapy (ECT) treatments during his hospital course, after which his catatonia improved. We compared this to other cases in which a large CSP was identified and discussed the possibility of increased susceptibility to psychosis, specifically catatonia, which might be associated with this developmental anomaly.
在我们的病例报告中，一名有精神分裂症病史的29岁男性患者出现精神状态改变和紧张症，磁共振成像（MRI）检查发现其透明隔腔（CSP）增大（21mm）。在其住院期间，随后给予艾司西酞普兰、奥氮平、哌甲酯、劳拉西泮治疗，并进行了8次电休克治疗（ECT），之后其紧张症有所改善。我们将此病例与其他发现有大透明隔腔的病例进行了比较，并讨论了对精神病尤其是紧张症易感性增加的可能性，这可能与此发育异常有关。
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