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先天性聋精神分裂症患者的听幻觉和视幻觉:病例报告及文献复习

Auditory and Visual Hallucinations in a Congenitally Deaf Patient with Schizophrenia: A Case Report and Brief Literature Review.

机构信息

University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

Avera Medical Group Behavioral Health, Sioux Falls, South Dakota.

出版信息

S D Med. 2024 Mar;77(3):102-106.

Abstract

This report discusses the case of a 54-year-old woman with a complex psychiatric history including schizophrenia, tardive dyskinesia, borderline intellectual function, and congenital deafness that reported auditory and visual hallucinations during an acute exacerbation of schizophrenia. After resuming a previous lithium regimen and introducing olanzapine, the patient improved and was discharged without hallucinations. In our report we explore some of the challenges we faced, discuss similar cases, and examine the unresolved debate about whether congenitally deaf patients can experience auditory hallucinations.

摘要

本报告讨论了一位 54 岁女性的病例,她有复杂的精神病史,包括精神分裂症、迟发性运动障碍、边缘智力功能和先天性耳聋,在精神分裂症急性加重期间报告出现听觉和视觉幻觉。在恢复以前的锂治疗方案并引入奥氮平后,患者病情改善并出院,没有出现幻觉。在我们的报告中,我们探讨了我们所面临的一些挑战,讨论了类似的病例,并研究了关于先天性耳聋患者是否能体验到听觉幻觉的未解决争议。

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