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与双相情感障碍相关的脑裂畸形

Schizencephaly Associated With Bipolar Affective Disorder.

作者信息

Rama Rao Rahul, Reddy Anish Bandalore Satheesha, P Dhanushia, Koul Abhay

机构信息

Psychiatry, Mysore Medical College and Research Institute, Mysuru, IND.

Psychosis Studies, King's College London, London, GBR.

出版信息

Cureus. 2024 Feb 20;16(2):e54534. doi: 10.7759/cureus.54534. eCollection 2024 Feb.

DOI:10.7759/cureus.54534
PMID:38516433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10956483/
Abstract

Schizencephaly is a rare congenital anomaly characterized by the formation of abnormal clefts in the brain. Despite the association of psychotic symptoms with various brain abnormalities or insults, their occurrence in individuals with schizencephaly is relatively infrequent. The association of bipolar disorder, with or without psychosis, with schizencephaly is rarer. A systematic search on PubMed using "Schizencephaly AND Bipolar Disorder" yielded only four case studies specifically addressing the connection between these two conditions. Here, we present a case of a 22-year-old male patient with a history of childhood seizures who developed first episode psychosis along with manic symptoms and was found to have closed-lip schizencephaly.

摘要

脑裂畸形是一种罕见的先天性异常,其特征是大脑中形成异常裂隙。尽管精神症状与各种脑异常或损伤有关,但在脑裂畸形患者中其出现相对较少。双相情感障碍(伴或不伴精神病性症状)与脑裂畸形的关联更为罕见。在PubMed上使用“脑裂畸形与双相情感障碍”进行系统检索,仅得到四项专门探讨这两种疾病之间关联的病例研究。在此,我们报告一例22岁男性患者,该患者有儿童期癫痫病史,出现了首次发作的精神病性症状及躁狂症状,经检查发现患有闭合性唇脑裂畸形。

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1
Schizencephaly Associated With Bipolar Affective Disorder.与双相情感障碍相关的脑裂畸形
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A case of closedlip schizencephaly with absent septum pellucidum in an adult presenting with seizure disorder.一名成年癫痫患者,患有闭合性唇裂脑畸形且透明隔缺如。
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A two-year follow-up study on the first manic episode due to mood-incongruent psychosis.心境不协调精神病所致首次躁狂发作的两年随访研究。
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本文引用的文献

1
Prevalence of Neuroradiological Abnormalities in First-Episode Psychosis: A Systematic Review and Meta-analysis.首发精神病的神经影像学异常的流行率:系统回顾和荟萃分析。
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Schizencephaly and psychosis: a rare association.脑裂畸形与精神病:一种罕见的关联。
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3
Schizencephaly: association with young maternal age, alcohol use, and lack of prenatal care.脑裂畸形:与母亲年轻、饮酒及缺乏产前护理的关联
J Child Neurol. 2013 Feb;28(2):198-203. doi: 10.1177/0883073812467850. Epub 2012 Dec 23.
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Open-lip schizencephaly associated with bipolar disorder in a young man exposed in utero to the chernobyl disaster.
J Neuropsychiatry Clin Neurosci. 2012 Winter;24(1):E34-5. doi: 10.1176/appi.neuropsych.11030056.
5
Comorbidity of attention-deficit/hyperactivity disorder, Tourette's syndrome and bipolar I disorder in an adolescent patient with schizencephaly.注意缺陷多动障碍、妥瑞氏症和双相情感障碍共病于一名青少年裂脑患者。
Gen Hosp Psychiatry. 2012 Nov-Dec;34(6):702.e1-3. doi: 10.1016/j.genhosppsych.2011.12.004. Epub 2012 Jan 27.
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Schizencephaly prevalence, prenatal diagnosis and clues to etiology: a register-based study.脑裂畸形的患病率、产前诊断及病因线索:基于登记的研究。
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Schizencephalies; a study of the congenital clefts in the cerebral mantle; clefts with fused lips.脑裂畸形;大脑皮质先天性裂隙的研究;唇融合性裂隙
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