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偏头痛引发的疯狂:偏头痛后反复出现的精神病症状

Migraine madness: recurrent psychosis after migraine.

作者信息

Fuller G N, Marshall A, Flint J, Lewis S, Wise R J

机构信息

Department of Neurology, Charing Cross Hospital, London, UK.

出版信息

J Neurol Neurosurg Psychiatry. 1993 Apr;56(4):416-8. doi: 10.1136/jnnp.56.4.416.

Abstract

A 69 year old man with longstanding migraine with aura had four episodes of psychosis lasting 7-28 days during a 17 year period. During attacks he had formed visual hallucination and delusions, including reduplicative paramnesia. His mother was similarly affected. His EEG showed symmetrical frontal delta waves. The time course and EEG changes are similar to acute confusional migraine. The reduplicative paramnesia suggests a focal non-dominant hemisphere dysfunction.

摘要

一名69岁患有长期偏头痛伴先兆的男性,在17年期间出现了4次持续7 - 28天的精神病发作。发作期间,他出现了视幻觉和妄想,包括人身重复症。他的母亲也有类似症状。他的脑电图显示双侧额叶δ波。病程和脑电图变化与急性混乱性偏头痛相似。人身重复症提示非优势半球局灶性功能障碍。

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本文引用的文献

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Capgras symptoms with an organic basis.具有器质性基础的卡普格拉症状。
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Brain imaging in a case of Capgras' syndrome.卡普格拉综合征一例的脑成像
Br J Psychiatry. 1987 Jan;150:117-21. doi: 10.1192/bjp.150.1.117.
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Neuropsychologic symptoms in the migraine syndrome.偏头痛综合征中的神经心理学症状。
Cephalalgia. 1988 Jun;8(2):67-70. doi: 10.1046/j.1468-2982.1988.0802067.x.

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