White J H, Rust J B
J Autism Dev Disord. 1979 Mar;9(1):37-40. doi: 10.1007/BF01531290.
The problem of differential diagnosis of childhood schizophrenia versus gross brain pathology is a difficult one. The clinical picture, for instance, of dementia infantalis (Heller's Disease) is indistinguishable from that of schizophrenia (Shaw & Lucas, 1970). The same is true of some major metabolic disorders (Bray,1970). Coexisting neurological and EEG findings for seizures are not helpful since these are often seen in schizophrenia (Bender, 1947; Fish, 1977). Mental retardation may coexist with schizophrenia or any of the other disorders. The following is an unusual case illustration of a child presenting symptoms of schizophrenia, seizures, and retardation without neurological abnormalities. Until his gross anatomical brain pathology was found by neurologic evaluation, he was subjected to the inappropriate treatment of psychotherapy.
儿童精神分裂症与严重脑病理学的鉴别诊断问题是一个难题。例如，婴儿痴呆（海勒氏病）的临床表现与精神分裂症难以区分（肖和卢卡斯，1970年）。一些主要的代谢紊乱也是如此（布雷，1970年）。癫痫发作时并存的神经学和脑电图检查结果并无帮助，因为这些在精神分裂症中也经常出现（本德，1947年；菲什，1977年）。智力迟钝可能与精神分裂症或任何其他疾病并存。以下是一个不寻常的病例，一个儿童出现了精神分裂症、癫痫发作和智力迟钝的症状，但没有神经学异常。在通过神经学评估发现其严重的大脑解剖病理学之前，他接受了不恰当的心理治疗。
