Gérard C L, Bouvard M, Léger J
Service de Médecine de Rééducation, Hôpital Robert Debré, Paris.
Ann Pediatr (Paris). 1993 Nov;40(9):592-5.
Three cases of behavioral disorders in children previously treated for a diencephalic tumor are reported. In such cases, classical psychiatric evaluation is difficult because reference data on childhood psycho-organic syndromes are lacking. Another complicating feature is that multiple factors contribute to the impairment of social interactions, including maladaptive reactions to disease-related stress, sensory deficits, and cognitive disorders. A structured evaluation should be performed in order to assess the child's behavior, the psychological and educational environment, and impairment of neuropsychological and neurophysiological function.
报告了3例曾接受间脑肿瘤治疗的儿童行为障碍病例。在此类病例中,经典的精神病学评估很困难,因为缺乏关于儿童精神器质性综合征的参考数据。另一个复杂因素是,多种因素导致社交互动受损,包括对疾病相关压力的适应不良反应、感觉缺陷和认知障碍。应进行结构化评估,以评估儿童的行为、心理和教育环境,以及神经心理和神经生理功能的损害。