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[精神病患者脑部的计算机断层扫描。与器质性改变的其他指标的比较]

[Computer tomography of the brain in psychiatric patients. Comparison with other indices of organic changes].

作者信息

Chimiak-Drozdzowska E, Lasek W, Boroń Z, Rybakowski J

机构信息

Katedry i Kliniki Psychiatrii AM, Bydgoszczy.

出版信息

Psychiatr Pol. 1993 Jul-Aug;27(4):431-41.

PMID:8416003
Abstract

A group of 80 psychiatric patients--40 males and 40 females--aged 13 to 72--were examined in order to compare the results of computer tomography (CT) of the brain with indicators of organic changes obtained from EEG, psychological and neurological tests. The most frequent organic pathology present in the computer tomography was brain atrophy, displayed in 40 patients (50% of the examined) and constituting the only change in 29 patients (36% of the examined, including 19 males and 10 females). The comparison of 29 patients with brain atrophy with those with normal CT revealed that the former produced pathological EEG more frequently. However, it did not indicate any predominance of pathological results of psychological and neurological examination, neither did it show one of defined psychopathological image. Within the group of "other organic pathology", the most frequent abnormality was hyperostosis frontalis interna. It was present in 6 persons, including 5 females, and was usually associated with brain atrophy and pathological results of psychopathological tests. Other abnormalities found in the "other group of organic changes" included celebral tumours, hydromas, ischenic foci and inherited defects of the brain. No explicit relationship between the CT and the indicators of organic changes was found in this group.

摘要

对一组80名精神病患者(40名男性和40名女性,年龄在13至72岁之间)进行了检查,以比较脑部计算机断层扫描(CT)结果与从脑电图、心理和神经测试中获得的器质性改变指标。计算机断层扫描中最常见的器质性病变是脑萎缩,40名患者(占受检者的50%)出现脑萎缩,其中29名患者(占受检者的36%,包括19名男性和10名女性)仅有脑萎缩这一改变。将29名脑萎缩患者与CT正常的患者进行比较发现,前者出现病理性脑电图的频率更高。然而,这并未表明心理和神经检查的病理性结果有任何优势,也未显示出特定的精神病理图像。在“其他器质性病变”组中,最常见的异常是额骨内板增生。6人出现这种情况,其中5名女性,且通常与脑萎缩及精神病理测试的病理性结果相关。在“其他器质性改变”组中发现的其他异常包括脑肿瘤、水瘤、缺血灶和脑部遗传性缺陷。在该组中未发现CT与器质性改变指标之间存在明确关系。

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