Cummings J L, Mendez M F
Am J Psychiatry. 1984 Sep;141(9):1084-7. doi: 10.1176/ajp.141.9.1084.
The authors describe two patients with secondary mania associated with right thalamic infarctions. Both patients exhibited hemisensory loss, denial of illness, and amnesia for the manic episode. One improved with lithium therapy and the other recovered without specific pharmacologic intervention. A review of reported cases reveals that most focal lesions associated with secondary mania involve the diencephalic region and that the majority of lateralized lesions are on the right side.
作者描述了两名患有与右侧丘脑梗死相关的继发性躁狂症的患者。两名患者均表现出偏身感觉丧失、疾病失认以及对躁狂发作的遗忘。一名患者经锂盐治疗后病情改善，另一名患者未经特殊药物干预即康复。对已报道病例的回顾显示，与继发性躁狂症相关的大多数局灶性病变累及间脑区域，且大多数偏侧性病变位于右侧。
