David A S, Wacharasindhu A, Lishman W A
Department of Psychological Medicine, Institute of Psychiatry, London, UK.
J Neurol Neurosurg Psychiatry. 1993 Jan;56(1):85-93. doi: 10.1136/jnnp.56.1.85.
The association between developmental defects of the corpus callosum and major psychiatric disturbance is discussed with a review of published cases. Seven new cases are presented, of which four had clear psychotic symptoms, two receiving a diagnosis of schizophrenia. Of the remainder, one had a developmental disorder affecting social interaction and speech which could be classed as Asperger's syndrome, one had a personality disorder with depressive and conversion symptoms, and the last was an adolescent boy with severe behavioural problems. The difficulties in determining the precise relevance of the callosal anomalies to these clinical manifestations are discussed especially since the prevalence of such anomalies in the population is uncertain.
本文结合已发表病例综述,探讨胼胝体发育缺陷与重度精神障碍之间的关联。文中呈现了7例新病例,其中4例有明显的精神病症状,2例被诊断为精神分裂症。其余病例中,1例患有影响社交互动和言语的发育障碍,可归类为阿斯伯格综合征;1例患有伴有抑郁和转换症状的人格障碍;最后1例是有严重行为问题的青少年男性。文中讨论了确定胼胝体异常与这些临床表现的确切相关性所面临的困难,特别是鉴于此类异常在人群中的患病率尚不确定。