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一位蛇女:脑震荡后综合征表现为出现蛇的视幻觉。

A snake lady: post-concussion syndrome manifesting visual hallucinations of snakes.

作者信息

Loyd D W, Tsuang M T

出版信息

J Clin Psychiatry. 1981 Jun;42(6):246-7.

PMID:7240106
Abstract

A 37-year-old female was referred to the Department of Psychiatry at the University of Iowa with visual hallucinations of snakes that began ten months after a brief loss of consciousness in a car accident. She also complained about a persistent headache and depressed mood that began shortly after the accident. Her depressive symptoms did not respond to amitriptyline or ECT. By thoroughly reviewing the clinical features and course of this patient, we conclude that the she did not have a typical, definite psychiatric syndrome explaining her hallucinations. The hallucination of snakes in this case may be a manifestation of post-concussional syndrome.

摘要

一名37岁女性因车祸短暂昏迷10个月后出现蛇的视幻觉,被转诊至爱荷华大学精神病学系。她还抱怨事故后不久开始持续头痛和情绪低落。她的抑郁症状对阿米替林或电休克治疗无反应。通过全面回顾该患者的临床特征和病程,我们得出结论,她没有典型、明确的精神综合征来解释她的幻觉。该病例中的蛇幻觉可能是脑震荡后综合征的一种表现。

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