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成人注意力缺陷多动障碍中的遗忘掩盖了短暂性癫痫性遗忘:一例报告

Forgetfulness in adult attention-deficit/hyperactivity disorder masks transient epileptic amnesia: a case report.

作者信息

Fukao Takashi, Fujiwara Masaki, Yamada Yuto, Sakamoto Shinji, Matsumoto Yosuke, Takaki Manabu

机构信息

Department of Neuropsychiatry Okayama University Hospital Okayama Japan.

Okayama University Hospital Gender Center Okayama Japan.

出版信息

PCN Rep. 2024 Aug 22;3(3):e70003. doi: 10.1002/pcn5.70003. eCollection 2024 Sep.

Abstract

BACKGROUND

Inattention due to attention-deficit/hyperactivity disorder (ADHD) can lead to forgetfulness. Transient epileptic amnesia (TEA) can cause forgetfulness, similar to ADHD. We report a patient with ADHD who developed TEA.

CASE PRESENTATION

The patient was a 40-year-old woman with ADHD. She has been prone to forgetfulness since childhood. Two years before visiting our outpatient clinic, she had begun to occasionally forget events that had occurred several days earlier. However, she was largely unaware of the emergence of new amnestic symptoms. She had also begun to experience various other amnestic symptoms 2 months before she visited our clinic, which prompted her to visit our outpatient clinic. The combination of a detailed interview, electroencephalography (EEG) examination, and consideration of TEA enabled us to diagnose her with TEA and provide treatment accordingly. In our patient, daily forgetfulness due to ADHD delayed the recognition of new additional forgetfulness attributed to TEA.

CONCLUSION

Psychiatrists need to consider TEA when patients with ADHD present with changes in or exacerbation of forgetfulness.

摘要

背景

注意力缺陷多动障碍(ADHD)导致的注意力不集中可引起健忘。短暂性癫痫性遗忘症(TEA)也可导致健忘,与ADHD相似。我们报告1例患有ADHD并发生TEA的患者。

病例介绍

该患者为一名40岁患有ADHD的女性。她自幼就容易健忘。在就诊于我们门诊的两年前,她开始偶尔忘记几天前发生的事情。然而,她基本没有意识到新的遗忘症状的出现。在就诊于我们门诊的2个月前,她还开始出现各种其他遗忘症状,这促使她前来就诊。通过详细的问诊、脑电图(EEG)检查以及对TEA的考虑,我们诊断她患有TEA并给予相应治疗。在我们的患者中,ADHD导致的日常健忘延迟了对TEA所致新的额外健忘的识别。

结论

当患有ADHD的患者出现健忘变化或加重时,精神科医生需要考虑TEA。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16db/11341431/bfe15fd4d436/PCN5-3-e70003-g002.jpg

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