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通过神经影像学揭示伪装成急性精神病的疱疹性脑炎。

Unmasking herpes encephalitis masquerading as acute psychosis via neuroimaging.

作者信息

Chadha Yatika, Toshniwal Saket Satyasham, Kinkar S Jiwan, Patil Ragini, Acharya Sourya

机构信息

Department of General Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, India.

Department of Neurology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, India.

出版信息

Radiol Case Rep. 2024 Nov 8;20(1):637-641. doi: 10.1016/j.radcr.2024.10.091. eCollection 2025 Jan.

Abstract

Psychosis is a complex mental health condition that can have a profound impact on individuals and their families. It is characterized by a loss of contact with reality, including delusions, hallucinations, and disorganized thinking. While psychosis is most commonly associated with psychiatric disorders such as schizophrenia, it is crucial to consider other potential causes to ensure accurate diagnosis and appropriate treatment. One such often overlooked condition is herpes encephalitis, a viral infection that affects the brain, like in this case where a 22 year old male presented with acute episodes of psychosis which later turned out to be herpes encephalitis diagnosed on MRI (Magnetic Resonance Imaging) of brain screening followed by CSF (Cerebrospinal Fluid) analysis. In this article, we will also discuss herpes encephalitis and explore its role as a differential diagnosis for psychosis.

摘要

精神病是一种复杂的心理健康状况,会对个人及其家庭产生深远影响。其特征是与现实脱节,包括妄想、幻觉和思维紊乱。虽然精神病最常与精神分裂症等精神障碍相关,但考虑其他潜在病因以确保准确诊断和适当治疗至关重要。一种常被忽视的疾病就是疱疹性脑炎,这是一种影响大脑的病毒感染,就像在这个案例中,一名22岁男性出现急性精神病发作,后来经脑部磁共振成像(MRI)筛查及脑脊液(CSF)分析确诊为疱疹性脑炎。在本文中,我们还将讨论疱疹性脑炎,并探讨其作为精神病鉴别诊断的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c531/11585463/27c86b135087/gr1.jpg

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