Kocher R, Linder M, Stula D
Schweiz Arch Neurol Neurochir Psychiatr. 1984;135(2):217-27.
At the University Psychiatric Clinic in Basle, 14 primary brain tumours were diagnosed in a patient population of 12,530 in the course of 10 years. The rate of primary brain tumours in hospitalized psychiatric patients is thus one in 1,000. Primary brain tumours occurred 20 times more frequently in psychiatric patients than in a normal population, in whom the rate is one in 20,000. The classic brain tumour triad frequently occurs late and is found in less than 50% of patients. In 50 to 60 percent, brain tumour is associated with mental changes, mainly confusional states and psychoorganic syndrome. There is no typical pathopsychology of brain tumours, and that is why the possibility must always be ruled out. On the basis of these remarks, concrete recommendations are made for daily practice.
在巴塞尔大学精神病诊所，10年间在12530名患者中诊断出14例原发性脑肿瘤。因此，住院精神科患者中原发性脑肿瘤的发病率为千分之一。精神科患者原发性脑肿瘤的发病率是正常人群的20倍，正常人群的发病率为万分之一。典型的脑肿瘤三联征常常出现较晚，不到50%的患者会出现。50%至60%的患者中，脑肿瘤与精神变化有关，主要是意识模糊状态和精神器质性综合征。脑肿瘤没有典型的病理心理学表现，这就是为什么必须始终排除这种可能性。基于这些观点，为日常临床实践提出了具体建议。
