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双相情感障碍患者的神经学异常。

Neurological abnormalities in patients with bipolar disorder.

作者信息

Mukherjee S, Shukla S, Rosen A

出版信息

Biol Psychiatry. 1984 Mar;19(3):337-45.

PMID:6144328
Abstract

A test for agraphaesthesia and the face-hand test were administered to 75 DSM-III bipolar disorder patients. Twenty-five patients (33.3%) had abnormal findings on these tests. Abnormal findings were limited to the group of 54 patients with a history of long-term neuroleptic exposure. There was a strong correlation between the duration of cumulative neuroleptic exposure and the presence of abnormalities. In the group with long-term neuroleptic exposure, family history of affective disorders was negatively correlated with the presence of abnormalities. It appears that long-term neuroleptic exposure may be a contributory causal factor in the development of abnormal neurological signs in bipolar patients. A tendency toward more left-hand errors suggesting hemispheric integration dysfunction was noted in the patients exposed to long-term neuroleptics.

摘要

对75名符合《精神疾病诊断与统计手册》第三版(DSM-III)标准的双相情感障碍患者进行了失写症测试和面部-手部测试。25名患者(33.3%)在这些测试中出现异常结果。异常结果仅限于有长期使用抗精神病药物史的54名患者。累积使用抗精神病药物的时长与异常情况的出现之间存在很强的相关性。在长期使用抗精神病药物的患者组中,情感障碍家族史与异常情况的出现呈负相关。长期使用抗精神病药物似乎可能是双相情感障碍患者出现异常神经体征的一个促成因素。在长期使用抗精神病药物的患者中,发现存在更多左手错误的倾向,这表明存在半球整合功能障碍。

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引用本文的文献

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Can neurological soft signs and neurocognitive deficits serve as a combined endophenotype for Han Chinese with bipolar disorder?神经学软体征和神经认知缺陷能否作为汉族双相情感障碍患者的综合内表型?
Int J Methods Psychiatr Res. 2023 Dec;32(4):e1970. doi: 10.1002/mpr.1970. Epub 2023 Apr 10.
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Front Hum Neurosci. 2010 Oct 28;4:207. doi: 10.3389/fnhum.2010.00207. eCollection 2010.